| NPI | 1952757643 |
|---|---|
| Doing Business As | MEADOWBROOK MANOR OF BOLINGBROOK |
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER VANGEL Executive Director 630-759-1112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2016-05-11 |
| Last Update Date | 2016-05-11 |