Organization
HERITAGE WOODS OF BENTON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN R. COLONI (ADMINISTRATOR)
(618) 439-9431
Entity
Organization
Contact information
Practice address
1305 BAILEY LN, BENTON, IL 62812-2861
(618) 439-9431
Mailing address
1305 BAILEY LN, BENTON, IL 62812-2861
(618) 439-9431
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
IL
Other
Enumeration date
06/21/2007
Last updated
08/22/2020
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