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NPI Code Detail

MEDICARE: DANVILLE CARE CENTER

MEDICARE: DANVILLE CARE CENTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332BX2000XOxygen Equipment & Supplies (DME)0032862IL

General Provider Information

NPI Number : 1821240722
Entity Type Code : Organization
Provider Name (Legal Business Name) : DANVILLE CARE CENTER
Provider Business Mailing Address
First Line : 1701 N BOWMAN AVENUE RD
Second Line :
City : DANVILLE
State : IL
Zip : 61832-2200
Country : US
Telephone Number : 217-443-2955
Fax Number : 217-443-0315
Provider Business Practice Location Address
First Line : 1701 N BOWMAN AVENUE RD
Second Line :
City : DANVILLE
State : IL
Zip : 61832-2200
Country : US
Telephone Number : 217-443-2955
Fax Number : 217-443-0315
Authorized Official
Title or Position : ASST CONTROLLER
Name : MRS. KATHERINE J MURPHY
Credential : MHA
Telephone Number : 217-637-2794
Provider Enumeration Date : 10/22/2008
Last Update Date : 10/22/2008

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Directions to “DANVILLE CARE CENTER ” Practice Location

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