Heritage Woods of Moline Supportive Living Facility, LP

NPI #1689819955 in Moline, Illinois

Provider Information

NPI Number
1689819955
Entity Type
Organization
Organization Name
Heritage Woods of Moline Supportive Living Facility, LP
Primary Specialty
Assisted Living Facility
Enumeration Date
Dec 15, 2008
Last Updated
Dec 15, 2008

Practice Location

Address
5500 46TH AVENUE DR
City
Moline
ZIP Code
61265-9760
Phone
(309) 736-5655

Authorized Official

Name
MRS. D. EILEEN MOSELEY, RN, PN, LNHA
Title
ADMINISTRATOR
Phone
(309) 736-5655

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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