City Wide Village Mattress

NPI #1538419072 in Shorewood, Illinois

Provider Information

NPI Number
1538419072
Entity Type
Organization
Organization Name
City Wide Village Mattress
Primary Specialty
Durable Medical Equipment & Medical Supplies - Customized Equipment
Enumeration Date
Sep 12, 2012
Last Updated
Sep 12, 2012

Practice Location

Address
700 W JEFFERSON ST
Address 2
ROUTE 52
ZIP Code
60404-7608
Phone
(815) 744-5212

Authorized Official

Name
MR. RICKEY JENNINGS BROCIES
Title
PRESIDENT/OWNER
Phone
(815) 744-5212

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies - Customized EquipmentCustomized Equipment

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