Organization
MAPLE LEAF MEDICAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HEATHER DEBROCK (OWNER)
(309) 944-1190
Entity
Organization
Contact information
Practice address
127A S STATE ST, GENESEO, IL 61254-1361
(309) 944-1190
(309) 944-1390
Mailing address
127A S STATE ST, GENESEO, IL 61254-1347
(309) 944-1190
(309) 944-1390
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
09/20/2010
Last updated
06/30/2022
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