Heritage Manor Streator, LLC

NPI #1346230471 in Streator, Illinois

Provider Information

NPI Number
1346230471
Entity Type
Organization
Organization Name
Heritage Manor Streator, 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
May 27, 2014

Practice Location

Address
1525 E MAIN ST
ZIP Code
61364-3162
Phone
(815) 672-4516

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Occupational Therapist - Physical RehabilitationPhysical Rehabilitation
Occupational Therapy Assistant
Physical Therapist - GeriatricsGeriatrics
Physical Therapy Assistant
Speech-Language Pathologist
Durable Medical Equipment & Medical Supplies - Oxygen Equipment & SuppliesOxygen Equipment & Supplies
Skilled Nursing Facility

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