Heritage Manor - Streator
NPI #1104160886 in Streator, Illinois
Provider Information
- NPI Number
- 1104160886
- Entity Type
- Organization
- Organization Name
- Heritage Manor - Streator
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- HERITAGE ENTERPRISES, INC
- Primary Specialty
- Durable Medical Equipment & Medical Supplies - Oxygen Equipment & Supplies
- Enumeration Date
- Nov 19, 2012
- Last Updated
- Apr 24, 2014
Practice Location
Authorized Official
- Name
- DAVID M UNDERWOOD, CPA
- Title
- SR VP & CFO
- Phone
- (309) 823-7135
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies - Oxygen Equipment & Supplies — Oxygen Equipment & Supplies |
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