Organization
EDLUCY INC
Active
Other names
One Step Ahead & Home Medical Equipment
Organization subpart
No
Provider details
NPI number
Authorized official
LUCY A POTTS (OWNER)
(618) 842-2531
Entity
Organization
Contact information
Practice address
1010 W MAIN ST, FAIRFIELD, IL 62837-2309
(618) 842-2531
(618) 842-4036
Mailing address
1010 W MAIN ST, FAIRFIELD, IL 62837-2309
(618) 842-2531
(618) 842-4036
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
054016079
IL
332BC3200X
Customized Equipment (DME)
054016079
IL
332BX2000X
Oxygen Equipment & Supplies (DME)
054016079
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9632014
BCBSIL
IL
Enumeration date
04/17/2007
Last updated
05/31/2024
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