Provider Demographics
NPI:1841154101
Name:EDLUCY INC
Entity type:Organization
Organization Name:EDLUCY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LUCY
Authorized Official - Middle Name:A
Authorized Official - Last Name:POTTS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:618-841-1687
Mailing Address - Street 1:106 W CHERRY ST
Mailing Address - Street 2:
Mailing Address - City:HERRIN
Mailing Address - State:IL
Mailing Address - Zip Code:62948-1737
Mailing Address - Country:US
Mailing Address - Phone:618-842-2531
Mailing Address - Fax:618-842-4036
Practice Address - Street 1:106 W CHERRY ST
Practice Address - Street 2:
Practice Address - City:HERRIN
Practice Address - State:IL
Practice Address - Zip Code:62948-1737
Practice Address - Country:US
Practice Address - Phone:618-842-2531
Practice Address - Fax:618-842-4036
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:EDLUCY INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-12-11
Last Update Date:2025-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies