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Organization

HAROLD W BLANTON

Active
Other names
Midwest Rehab
Organization subpart
No

Provider details

NPI number
Authorized official
MR. HAROLD W BLANTON (OWNER)
(815) 626-8110
Entity
Organization

Contact information

Practice address
1512 5TH AVE, ROCK FALLS, IL 61071-2968
(815) 626-8110
(815) 625-2180
Mailing address
1512 5TH AVE, ROCK FALLS, IL 61071-2968
(815) 626-8110
(815) 625-2180

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
IL

Other

Enumeration date
12/03/2007
Last updated
06/19/2008
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