Organization
PEKIN PROHEALTH INC.
Active
Other names
PROCARE HOME HEALTH SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT LEIGH HAYNES (DIRECTOR)
(309) 347-4663
Entity
Organization
Contact information
Practice address
710 ILLINOIS AVE, MENDOTA, IL 61342-1638
(815) 539-6506
(815) 539-6708
Mailing address
1416 N 8TH ST, PEKIN, IL 61554-2103
(309) 347-4663
(309) 347-5127
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Enumeration date
05/22/2006
Last updated
08/22/2020
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