Organization
DSI MANTENO OPERATOR LLC
Active
Other names
Heritage Woods of Manteno
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM M DAUGHTERY (MANAGING MEMBER)
(815) 932-1992
Entity
Organization
Contact information
Practice address
355 DIVERSATECH DR, MANTENO, IL 60950-9274
(815) 468-3553
(815) 468-3888
Mailing address
355 DIVERSATECH DR, MANTENO, IL 60950-9274
(815) 468-3553
(815) 468-3888
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
IL
Other
Enumeration date
03/03/2008
Last updated
03/03/2008
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