Organization
COUNTY OF PEORIA
Active
Parent organization
PEORIA COUNTY
Other names
Heddington Oaks
Organization subpart
Yes
Provider details
NPI number
Legal business name
PEORIA COUNTY
Authorized official
MS. LORI CURTIS LUTHER (COUNTY ADMINISTRATOR)
(309) 672-6056
Entity
Organization
Contact information
Practice address
2223 W HEADING AVE, WEST PEORIA, IL 61604-5139
(309) 636-3600
(309) 636-3610
Mailing address
324 MAIN ST, ROOM 501, PEORIA, IL 61602-2331
(309) 677-6233
(309) 495-4608
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
1737473
IL
Other
Enumeration date
08/05/2008
Last updated
10/16/2013
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