Organization
HERITAGE MANOR ELGIN, LLC
Active
Parent organization
HERITAGE ENTERPRISES, INC
Other names
Heritage Health - Elgin
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
355 RAYMOND ST, ELGIN, IL 60120-7875
(847) 697-6636
(547) 742-6151
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
48132
IL
332BX2000X
Oxygen Equipment & Supplies (DME)
0048132
IL
Other
Enumeration date
10/28/2005
Last updated
05/27/2014
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