Home Health Depot
NPI #1639479140 in Bloomington, Illinois
Provider Information
- NPI Number
- 1639479140
- Entity Type
- Organization
- Organization Name
- Home Health Depot
- Primary Specialty
- Durable Medical Equipment & Medical Supplies - Customized Equipment
- Enumeration Date
- Oct 31, 2010
- Last Updated
- Oct 31, 2010
Practice Location
- Address
- 13 WESTPORT CT
- Address 2
- UNIT B
- City
- Bloomington
- State
- Illinois
- ZIP Code
- 61704-3626
- Phone
- (309) 662-4000
Authorized Official
- Name
- MRS. TERRI GOLDMAN
- Title
- DIRECTOR OF CONTRACTING
- Phone
- (317) 333-6033
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
| Durable Medical Equipment & Medical Supplies - Customized Equipment — Customized Equipment |
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