Home Care Diabetes Medical Supply
NPI #1619045317 in Belleville, Illinois
Provider Information
- NPI Number
- 1619045317
- Entity Type
- Organization
- Organization Name
- Home Care Diabetes Medical Supply
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Dec 1, 2006
- Last Updated
- Sep 16, 2008
Practice Location
- Address
- 1707 10TH FAIRWAY DR
- City
- Belleville
- State
- Illinois
- ZIP Code
- 62220-4866
- Phone
- (618) 277-1628
Authorized Official
- Name
- MRS. ROSE MARIE CHENAULT, NONE
- Title
- MANAGER
- Phone
- (618) 277-1628
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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