Organization
QUAD COUNTY HOME MEDICAL SUPPLIES & EQUIPMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES E MOON (CHIEF FINANCIAL OFFICER)
(217) 562-2131
Entity
Organization
Contact information
Practice address
8 HUBER ST, PANA, IL 62557-1721
(217) 562-6362
(217) 562-6395
Mailing address
8 HUBER ST, PANA, IL 62557-1721
(217) 562-6362
(217) 562-6395
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
203000103
—
Other
Enumeration date
03/21/2007
Last updated
11/17/2016
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