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Organization

HEARTLAND HOME HEALTH CARE INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CALVIN MACKAY (CHIEF FINANCIAL OFFICER SENIOR VP)
(309) 672-5931
Entity
Organization

Contact information

Practice address
112 NE CRESCENT AVE, PEORIA, IL 61606-1901
(309) 671-7792
Mailing address
221 NE GLEN OAK AVE, PEORIA, IL 61636-0001
(309) 671-7792

Taxonomy

Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
7288079
BLUE CROSS PROV NUMBER
IL
Enumeration date
05/17/2006
Last updated
12/22/2009
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