| Roxy's House At Blue Heron Ranch | |
|
13801 N 130 East Rd, Homer, IL 61849-7018 | |
| (217) 431-5484 | |
| Not Available |
| Full Name | Roxy's House At Blue Heron Ranch |
|---|---|
| Type | Facility |
| Speciality | Speech-language Pathologist |
| Location | 13801 N 130 East Rd, Homer, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124708771 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Roxy's House At Blue Heron Ranch 13801 N 130 East Rd, Homer, IL 61849-7018 Ph: () - | Roxy's House At Blue Heron Ranch 13801 N 130 East Rd, Homer, IL 61849-7018 Ph: (217) 431-5484 |
Mrs. Pamela K. Tate, M.S. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 972 County Road 2600 E, Homer, IL 61849 Phone: 217-896-2016 | |
Mrs. Nicole Clem, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 512 W 1st Sreet, Homer, IL 61849 Phone: 217-896-2421 |