Organization
EVERGREEN PLACE BEARDSTOWN LLC
Active
Parent organization
HERITAGE ENTERPRISES, INC.
Other names
Evergreen Place
Organization subpart
Yes
Provider details
NPI number
Legal business name
HERITAGE ENTERPRISES, INC.
Authorized official
DAVID M UNDERWOOD (EXEC VP FINANCE & CFO)
(309) 823-7135
Entity
Organization
Contact information
Practice address
8570 SAINT LUKES DR, BEARDSTOWN, IL 62618-9200
(217) 323-1860
Mailing address
115 W JEFFERSON ST STE 401, BLOOMINGTON, IL 61701-3967
(309) 823-7139
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
04/04/2019
Last updated
04/04/2019
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