HOME HEALTH DEPOT NPI 1639479140

NPI Information

HOME HEALTH DEPOT is a customized equipment durable medical equipment medical supplies in Bloomington, IL. HOME HEALTH DEPOT NPI is 1639479140. The provider is registered as an organization entity type.

The provider's business location address is:

13 WESTPORT CT
UNIT B
BLOOMINGTON, IL
ZIP 61704-626
Phone: (309) 662-4000
Fax: (317) 333-6034

The provider's authorized official is Terri Goldman .
The authorized official title is Director Of Contracting and has the following contact phone number (317) 333-6033.

The enumeration date for this NPI number is 10/31/2010 and was last updated on 10/31/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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