Organization · Type 2 NPI

Heritage Manor - Pana, LLC

Oxygen Equipment & Supplies (DME) · Pana, IL

NPI number 1629312335 Active

Practice location

1000 E 6th St
Pana, IL 62557-1870

Fax (217) 562-7242

Mailing address

115 W Jefferson St, Suite 401
Bloomington, IL 61701-3946

Specialties and licenses

TaxonomyCodeLicense
Oxygen Equipment & Supplies (DME) Primary 332BX2000XNone listed

Oxygen Equipment & Supplies (DME): Definition to come...

4 other providers at this address

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About NPI 1629312335

Heritage Manor - Pana, LLC's National Provider Identifier is 1629312335, issued on Nov 19, 2012. The primary taxonomy on file is Oxygen Equipment & Supplies (DME) (332BX2000X), and the practice location is in Pana, IL. The record was last updated on Apr 24, 2014.