Heritage Manor - Gibson City, LLC
NPI #1699765719 in Gibson City, Illinois
Provider Information
- NPI Number
- 1699765719
- Entity Type
- Organization
- Organization Name
- Heritage Manor - Gibson City, 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
- Mar 21, 2022
Practice Location
- Address
- 620 E 1ST ST
- City
- Gibson City
- State
- Illinois
- ZIP Code
- 60936-1822
- Phone
- (217) 784-4257
Authorized Official
- Name
- MR. DAVID M UNDERWOOD
- Title
- EXEC VP & CFO
- Phone
- (309) 828-4361
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies - Oxygen Equipment & Supplies — Oxygen Equipment & Supplies |
| Skilled Nursing Facility |
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