Organization
HERITAGE WOODS OF DWIGHT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILL ODOM (ADMINISTRATOR)
(815) 584-9280
Entity
Organization
Contact information
Practice address
701 E MAZON AVE, DWIGHT, IL 60420-1124
(815) 584-9280
(815) 584-9283
Mailing address
701 E. MAZON AVE., DWIGHT, IL 60420
(815) 584-9280
(815) 584-9283
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
01/05/2010
Last updated
01/05/2010
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