Organization
SUPERIOR HEALTH CARE CONCEPTS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHNNY LEE PRINCE (PRESIDENT/OWNER)
(217) 355-2680
Entity
Organization
Contact information
Practice address
2906 W CLARK RD, CHAMPAIGN, IL 61822-2809
(217) 355-2680
(217) 355-5538
Mailing address
2906 W CLARK RD, CHAMPAIGN, IL 61822-2809
(217) 355-2680
(217) 355-5538
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
203.000084
IL
332BC3200X
Customized Equipment (DME)
203.000084
IL
Other
Enumeration date
08/08/2008
Last updated
07/29/2009
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