Mclean County Nursing Home

NPI #1134372071 in Normal, Illinois

Provider Information

NPI Number: 1134372071
Entity Type: Organization
Organization Name: Mclean County Nursing Home
Primary Specialty: Durable Medical Equipment & Medical Supplies - Oxygen Equipment & Supplies
Enumeration Date: Oct 23, 2008
Last Updated: Oct 23, 2008

Practice Location

Address: 901 N MAIN ST
City: Normal
State: Illinois
ZIP Code: 61761-1501
Phone: (309) 888-5380

Authorized Official

Name: MRS. SANDRA L WILES
Title: ADM. ASST.
Phone: (309) 888-5198

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies - Oxygen Equipment & Supplies — Oxygen Equipment & Supplies	332BX2000X	Primary

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