Organization
HERITAGE MANOR - ROBINSON, LLC
Active
Parent organization
HERITAGE ENTERPRISES, INC
Other names
Heritage Health - Robinson
Organization subpart
Yes
Provider details
NPI number
Legal business name
HERITAGE ENTERPRISES, INC
Authorized official
MR. DAVID M UNDERWOOD (SR. VP & CFO)
(309) 823-7135
Entity
Organization
Contact information
Practice address
600 E ROBINWOOD DRIVE, ROBINSON, IL 62454-3220
(618) 544-3192
(618) 544-7643
Mailing address
115 W JEFFERSON ST, SUITE 401, BLOOMINGTON, IL 61701-3946
(309) 828-4361
(309) 829-9512
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0045138
IL
332BX2000X
Oxygen Equipment & Supplies (DME)
045138
IL
Other
Enumeration date
11/02/2005
Last updated
01/31/2022
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