Organization
GALESBURG HOME CARE CORPORATION
Active
Other names
Midwest Regional Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
GARY D NEWSOME (PRESIDENT)
(615) 465-7000
Entity
Organization
Contact information
Practice address
7800 N SOMMER ST, SUITE 303, PEORIA, IL 61615-1934
(309) 693-9881
(309) 693-9882
Mailing address
7800 N SOMMER ST, SUITE 303, PEORIA, IL 61615-1934
(309) 693-9881
(309) 693-9882
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
203000816
IL
332BX2000X
Oxygen Equipment & Supplies (DME)
203000816
IL
Other
Enumeration date
08/15/2006
Last updated
04/20/2008
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