Organization
HERITAGE MANOR CHILLICOTHE, LLC
Active
Parent organization
HERITAGE ENTERPRISES, INC.
Other names
Heritage Health
Organization subpart
Yes
Provider details
NPI number
Legal business name
HERITAGE ENTERPRISES, INC.
Authorized official
DAVID M UNDERWOOD (CFO)
(309) 828-4361
Entity
Organization
Contact information
Practice address
1028 W HILLCREST DR, CHILLICOTHE, IL 61523-2258
(309) 274-2194
Mailing address
115 W JEFFERSON ST STE 401, BLOOMINGTON, IL 61701-3967
(309) 828-4361
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Enumeration date
12/08/2018
Last updated
12/08/2018
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