Organization
HEARTLAND MANOR INC NURSING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PENNY J CHRYSLER (ADMINISTRATOR)
(217) 932-4081
Entity
Organization
Contact information
Practice address
410 N W THIRD STREET, CASEY, IL 62420
(217) 932-4081
(217) 932-4922
Mailing address
P O BOX 10, 410 N W THIRD STREET, CASEY, IL 62420-0010
(217) 932-4081
(217) 932-4922
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0002923
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0002923
—
IL
Enumeration date
07/01/2005
Last updated
12/20/2012
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