Organization · Type 2 NPI
Heritage Manor - Staunton, LLC
Oxygen Equipment & Supplies (DME) · Staunton, IL
NPI number
1538403241
Active
Practice location
215 W Pennsylvania St
Staunton, IL 62088-1127
Fax (618) 635-5580
Mailing address
115 W Jefferson St, Suite 401
Bloomington, IL 61701-3946
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oxygen Equipment & Supplies (DME) Primary | 332BX2000X | None listed |
Oxygen Equipment & Supplies (DME): Definition to come...
3 other providers at this address
Other oxygen equipment & supplies (dme) providers in Staunton
About NPI 1538403241
Heritage Manor - Staunton, LLC's National Provider Identifier is 1538403241, issued on Nov 19, 2012. The primary taxonomy on file is Oxygen Equipment & Supplies (DME) (332BX2000X), and the practice location is in Staunton, IL. The record was last updated on Apr 4, 2016.