Organization
HERITAGE MANOR CARLINVILLE, LLC
Active
Parent organization
HERITAGE ENTERPRISES, INC
Other names
Heritage Health - Carlinville
Organization subpart
Yes
Provider details
NPI number
Legal business name
HERITAGE ENTERPRISES, INC
Authorized official
MR. DAVID M UNDERWOOD (SR. VP & CFO)
(309) 828-4361
Entity
Organization
Contact information
Practice address
1200 UNIVERSITY AVE., CARLINVILLE, IL 62626-9600
(217) 854-4433
(217) 854-6291
Mailing address
115 W JEFFERSON ST, SUITE 401, BLOOMINGTON, IL 61701-3946
(309) 828-4361
(309) 829-9512
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
048850
IL
332BX2000X
Oxygen Equipment & Supplies (DME)
0048850
IL
Other
Enumeration date
10/31/2005
Last updated
05/27/2014
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