Organization · Type 2 NPI
Heritage Manor - Gillespie, LLC
Oxygen Equipment & Supplies (DME) · Gillespie, IL
NPI number
1801130513
Active
Practice location
7588 Staunton Rd
Gillespie, IL 62033-3232
Fax (217) 839-1372
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 Gillespie
About NPI 1801130513
Heritage Manor - Gillespie, LLC's National Provider Identifier is 1801130513, issued on Nov 19, 2012. The primary taxonomy on file is Oxygen Equipment & Supplies (DME) (332BX2000X), and the practice location is in Gillespie, IL. The record was last updated on Oct 18, 2016.