Organization
MCLEAN COUNTY ASSISTED LIVING FACILITY, L.L.C.
Active
Parent organization
HERITAGE ENTERPRISES, INC
Other names
Evergreen Place Assisted Living Facility
Organization subpart
Yes
Provider details
NPI number
Legal business name
HERITAGE ENTERPRISES, INC
Authorized official
MR. CRAIG L. ATER (SENIOR V.P. OF FINANCE)
(309) 823-7135
Entity
Organization
Contact information
Practice address
801 GREGORY ST, NORMAL, IL 61761-4431
(309) 451-9355
(309) 862-4329
Mailing address
115 W JEFFERSON ST, SUITE 401, BLOOMINGTON, IL 61701-3946
(309) 823-7155
(309) 829-9512
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
1821581
IL
Other
Enumeration date
02/25/2008
Last updated
02/25/2008
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