OrganizationActive
Apostolic Christian Home of Roanoke Illinois Inc.
NPI 1770030074 · Oxygen Equipment & Supplies (DME) · Roanoke, IL
Provider details
- NPI number
- 1770030074
- Entity type
- Organization
- Primary specialty
- Oxygen Equipment & Supplies (DME)Suppliers
- Organization subpart
- No
- Authorized official
- Richard Isaia, Administrator(309) 923-2071
- License
- 0021493 (IL)
Specialties & taxonomies
Suppliers
Practice location
1102 W Randolph St
Roanoke, IL 61561-7528
Phone: (309) 923-2071
Fax: (309) 923-7919
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 530
Roanoke, IL 61561-0530
Registry dates
- Enumerated
- 2016-09-02
- Last updated
- 2017-01-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.