Organization
COMPLETE HOME RESPIRATORY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TODD ALAN HORACK (OWNER)
(309) 635-6096
Entity
Organization
Contact information
Practice address
2108 W TOWNLINE RD, PEORIA, IL 61615-1547
(309) 689-5038
(309) 689-5074
Mailing address
2108 W TOWNLINE RD, PEORIA, IL 61615-1547
(309) 689-5038
(309) 689-5074
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
39874656
IL
Other
Enumeration date
04/29/2010
Last updated
10/13/2015
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