Heritage Manor - Mt. Zion, L.l.c.

NPI #1497908974 in Mt Zion, Illinois

Provider Information

NPI Number: 1497908974
Entity Type: Organization
Organization Name: Heritage Manor - Mt. Zion, L.l.c.
Subpart: Yes (part of a larger organization)
Parent Organization: HERITAGE ENTERPRISES, INC.
Primary Specialty: Durable Medical Equipment & Medical Supplies - Oxygen Equipment & Supplies
Enumeration Date: Oct 29, 2008
Last Updated: Nov 29, 2016

Practice Location

Address: 1225 WOODLAND DR
City: Mt Zion
State: Illinois
ZIP Code: 62549-1237
Phone: (217) 864-2356

Authorized Official

Name: MR. DAVID M UNDERWOOD, CPA
Title: EXEC VP & CFO
Phone: (309) 823-7135

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies - Oxygen Equipment & Supplies — Oxygen Equipment & Supplies	332BX2000X	Primary

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