Organization
HERITAGE MANOR LASALLE, LLC
Active
Parent organization
HERITAGE ENTERPRISES, INC
Other names
Heritage Health - LaSalle
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
1445 CHARTRES ST, LA SALLE, IL 61301-1508
(815) 223-4700
(815) 223-4708
Mailing address
1445 CHARTRES ST, LA SALLE, IL 61301-1508
(815) 223-4700
(815) 223-4708
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0051276
IL
Other
Enumeration date
05/11/2011
Last updated
05/27/2014
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