St. Clara's Manor

NPI #1811231533 in Lincoln, Illinois

Provider Information

NPI Number: 1811231533
Entity Type: Organization
Organization Name: St. Clara's Manor
Primary Specialty: Durable Medical Equipment & Medical Supplies - Oxygen Equipment & Supplies
Enumeration Date: Nov 19, 2012
Last Updated: Oct 18, 2016

Practice Location

Address: 200 5TH ST
City: Lincoln
State: Illinois
ZIP Code: 62656-2619
Phone: (217) 735-1507

Authorized Official

Name: DAVID UNDERWOOD, CPA
Title: EXEC VP, CFO
Phone: (309) 823-7135

Specialties & Taxonomy Codes

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

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