Heritage Manor - Peru, LLC

NPI #1013907138 in Peru, Illinois

Provider Information

NPI Number
1013907138
Entity Type
Organization
Organization Name
Heritage Manor - Peru, LLC
Subpart
Yes (part of a larger organization)
Parent Organization
HERITAGE ENTERPRISES, INC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Oct 28, 2005
Last Updated
Apr 18, 2022

Practice Location

Address
1301 21ST ST
City
Peru
ZIP Code
61354-1359
Phone
(815) 223-4901

Authorized Official

Name
MR. DAVID M UNDERWOOD
Title
SR. VP & CFO
Phone
(309) 828-4361

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies - Oxygen Equipment & SuppliesOxygen Equipment & Supplies
Skilled Nursing Facility

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