Organization
HERITAGE WOODS OF MOLINE SUPPORTIVE LIVING FACILITY, LP
Active
Other names
Heritage Woods of Moline
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. D. EILEEN MOSELEY RN, PN, LNHA (ADMINISTRATOR)
(309) 736-5655
Entity
Organization
Contact information
Practice address
5500 46TH AVENUE DR, MOLINE, IL 61265-9760
(309) 736-5655
(309) 736-5651
Mailing address
5500 46TH AVENUE DR, MOLINE, IL 61265-9760
(309) 736-5655
(309) 736-5651
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
IL
Other
Enumeration date
12/15/2008
Last updated
12/15/2008
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