Organization
HERITAGE ENTERPRISES, INC.
Active
Parent organization
HERITAGE MANOR - BEARDSTOWN SOUTH
Other names
Evergreen Place Supportive Living Facility
Organization subpart
Yes
Provider details
NPI number
Legal business name
HERITAGE MANOR - BEARDSTOWN SOUTH
Authorized official
MR. CRAIG L ATER (SENIOR V. P. OF FINANCE)
(309) 823-7135
Entity
Organization
Contact information
Practice address
8570 SAINT LUKES DR, BEARDSTOWN, IL 62618-9200
(217) 323-4055
(217) 323-9454
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
1825445
IL
Other
Enumeration date
02/25/2008
Last updated
04/20/2008
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