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Organization
PEKIN PROHEALTH INC.
Active
Organization
PEKIN PROHEALTH INC.
Active
Other names
PROCARE HOME HEALTH SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT LEIGH HAYNES (DIRECTOR)
(309) 347-4663
Entity
Organization
Contact information
Practice address
710 ILLINOIS AVE, MENDOTA, IL 61342-1638
(815) 539-6506
(815) 539-6708
Mailing address
1416 N 8TH ST, PEKIN, IL 61554-2103
(309) 347-4663
(309) 347-5127
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Enumeration date
05/22/2006
Last updated
08/22/2020
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