Heritage Manor - Beardstown East, L.l.c.

NPI #1700877693 in Beardstown, Illinois

Provider Information

NPI Number
1700877693
Entity Type
Organization
Organization Name
Heritage Manor - Beardstown East, L.l.c.
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Oct 31, 2005
Last Updated
Jun 23, 2012

Practice Location

Address
1501 CANAL ST
ZIP Code
62618-2349
Phone
(217) 323-1900

Authorized Official

Name
MR. CRAIG L ATER
Title
EXEC. 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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