Provena Home Health Inc

NPI 1043269442 - Home Infusion - 251F00000X

NPI Details
NPI 1043269442
Enumeration Date 05/10/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name MARGARET C MARGARET
Position PRESIDENT CEO
Phone (217) 355-4120
Fax (217) 355-4121
Practice Location
2018 GLENN PARK DRIVE
CHAMPAIGN IL, 61821-9961, US
Phone (217) 355-4120
Fax (217) 355-4121
Business Location
9223 WEST ST FRANCIS ROAD
FRANKFORT IL, 60423-8334, US
Phone (815) 806-2300
Fax (815) 806-0409
Toxanomy
Taxonomy Code 251F00000X
License State Illinois
License Number 1010264
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According to our database, Provena Home Health Inc NPI is 1043269442, taxonomy code is 251F00000X and license number is 1010264, license state is located at Illinois. Provena Home Health Inc physically located at 2018 Glenn Park Drive, Champaign IL, 61821-9961. NPI Number 1033115704 has the healthcare provider type.

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1043269442 NPI number is provided on an as is basis without warranty of any kind. 1043269442 is maintained by the National Plan & Provider Enumeration System. The contents of Provena Home Health Inc are for informational purposes only.