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Organization

OHLEY HOME MEDICAL, LLC

Active
Other names
Ohley Medical Supply & Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
JASON OHLEY (PRESIDENT/OWNER)
(618) 244-5000
Entity
Organization

Contact information

Practice address
4704 BROADWAY ST, MOUNT VERNON, IL 62864-6724
(618) 244-5000
(618) 244-5900
Mailing address
4704 BROADWAY ST, MOUNT VERNON, IL 62864-6724
(618) 244-5000
(618) 244-5900

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary

Other

Enumeration date
01/31/2008
Last updated
01/18/2016
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