City Wide Village Mattress

LBN: City Wide Village Mattress
City Wide Village Mattress is an health care organization with primary practice located at 700 W Jefferson St Route 52, Shorewood IL 60404-7608. The organization recently has only one registered license in Suppliers / Customized Equipment, which is considered as the primary health care specialty. City Wide Village Mattress can be contacted via phone (815) 744-5212, or through Brocies, Rickey Jennings via phone (815) 744-5212.

Contact Information

Primary practice address
700 W Jefferson St Route 52 Shorewood IL 60404-7608
Fax: (815) 744-5620
Website:
Authorized official contact:
Name: Brocies, Rickey Jennings

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Customized Equipment 332BC3200X

Profile Details

NPI number 1538419072
LBN Legal business name City Wide Village Mattress
DBA Doing business as
Authorized official Brocies, Rickey Jennings
Entity Organization
Organization subpart 1 No
Enumeration date Sep 12th, 2012
Last updated Sep 12th, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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