MAPLE CROSSING AT AMBOY LLC NPI 1790208817

NPI Information

MAPLE CROSSING AT AMBOY LLC is an oxygen equipment and supplies durable medical equipment medical supplies in Amboy, IL. MAPLE CROSSING AT AMBOY LLC NPI is 1790208817. The provider is registered as an organization entity type.

The provider's business location address is:

15 W WASSON RD
AMBOY, IL
ZIP 61310-141
Phone: (815) 857-2250

The provider's authorized official is Moshe Herman .
The authorized official title is Member and has the following contact phone number (847) 982-2300.

The enumeration date for this NPI number is 7/20/2017 and was last updated on 7/20/2017.

Taxonomy Codes

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Other Identifiers

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