Organization
SUNSET HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KELLEY HATFIELD (ACCOUNTING DIRECTOR)
(217) 223-2636
Entity
Organization
Contact information
Practice address
418 WASHINGTON ST, QUINCY, IL 62301-4862
(217) 223-2636
(217) 223-9867
Mailing address
418 WASHINGTON ST, QUINCY, IL 62301-4862
(217) 223-2636
(217) 223-9867
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
0011643
IL
Other
Enumeration date
02/12/2013
Last updated
02/12/2013
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