Heritage Manor Gillespie, LLC

NPI #1508857459 in Gillespie, Illinois

Provider Information

NPI Number
1508857459
Entity Type
Organization
Organization Name
Heritage Manor Gillespie, LLC
Subpart
Yes (part of a larger organization)
Parent Organization
HERITAGE ENTERPRISES, INC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Oct 31, 2005
Last Updated
May 27, 2014

Practice Location

Address
7588 STAUNTON RD
ZIP Code
62033-3232
Phone
(217) 839-2171

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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