Staunton Health and Rehab Center LLC

Organization Active NPI Oxygen Equipment & Supplies (DME) · Staunton, IL

NPI 1104510437 · NPPES record last updated Jun 8, 2023

Key facts

NPI
1104510437
Entity type
Organization (NPI type 2)
Primary specialty
Oxygen Equipment & Supplies (DME) 332BX2000X
Legal business name
STAUNTON HEALTH AND REHAB CENTER LLC
Practice address
215 W Pennsylvania St
Staunton, IL 62088-1127
Phone
(618) 635-5577
NPI assigned
Jun 8, 2023
Organization subpart
No

Authorized official

Name
Mo Weintraub
Title
Authorized Official
Phone
(618) 635-5577

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Staunton Health and Rehab Center LLC (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X Yes

Addresses

Primary practice location

215 W Pennsylvania St
Staunton, IL 62088-1127

Mailing address

575 Route 70
Brick, NJ 08723-4042

Other providers in Staunton, IL

All providers in Staunton, IL · Oxygen Equipment & Supplies (DME) in Illinois

Sources for this page

Verify at the official NPI Registry.