Organization · Type 2 NPI
Apostolic Christian Home of Roanoke Illinois Inc.
Oxygen Equipment & Supplies (DME) · Roanoke, IL
NPI number
1770030074
Active
Practice location
1102 W Randolph St
Roanoke, IL 61561-7528
Fax (309) 923-7919
Mailing address
PO Box 530
Roanoke, IL 61561-0530
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oxygen Equipment & Supplies (DME) Primary | 332BX2000X | 0021493 (IL) |
Oxygen Equipment & Supplies (DME): Definition to come...
Another provider at this address
About NPI 1770030074
Apostolic Christian Home of Roanoke Illinois Inc.'s National Provider Identifier is 1770030074, issued on Sep 2, 2016. The primary taxonomy on file is Oxygen Equipment & Supplies (DME) (332BX2000X), and the practice location is in Roanoke, IL. The record was last updated on Jan 24, 2017.