Heritage Enterprises, INC
NPI #1104236165 in Bloomington, Illinois
Provider Information
- NPI Number
- 1104236165
- Entity Type
- Organization
- Organization Name
- Heritage Enterprises, INC
- Primary Specialty
- Clinic/Center - Physical Therapy
- Enumeration Date
- Apr 30, 2014
- Last Updated
- Apr 30, 2014
Practice Location
- Address
- 700 E WALNUT ST
- City
- Bloomington
- State
- Illinois
- ZIP Code
- 61701-3244
- Phone
- (309) 829-1268
Authorized Official
- Name
- DAVID M UNDERWOOD
- Title
- SR VP & CFO
- Phone
- (309) 823-7135
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Physical Therapy — Physical Therapy |
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