Organization
ADVANCED MEDICAL HOMECARE SUPPLY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH L HUMPHREY (PRESIDENT)
(309) 691-3600
Entity
Organization
Contact information
Practice address
4918 N SHERIDAN RD, PEORIA, IL 61614-4853
(309) 691-3600
(309) 691-5500
Mailing address
4918 N SHERIDAN RD, PEORIA, IL 61614-4853
(309) 691-3600
(309) 691-5500
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
2902-3841
IL
Other
Enumeration date
06/14/2007
Last updated
07/26/2007
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