Organization
HOME CARE DIABETES MEDICAL SUPPLY
Active
Other names
Home Care Diabetes Supply
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROSE MARIE CHENAULT NONE (MANAGER)
(618) 277-1628
Entity
Organization
Contact information
Practice address
1707 10TH FAIRWAY DR, BELLEVILLE, IL 62220-4866
(618) 277-1628
(618) 277-2856
Mailing address
PO BOX 8429, BELLEVILLE, IL 62222-8429
(618) 277-1628
(618) 277-2826
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
12/01/2006
Last updated
09/16/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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