Heritage Manor Carlinville, LLC
NPI #1831180892 in Carlinville, Illinois
Provider Information
- NPI Number
- 1831180892
- Entity Type
- Organization
- Organization Name
- Heritage Manor Carlinville, 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
- 1200 UNIVERSITY AVE.
- City
- Carlinville
- State
- Illinois
- ZIP Code
- 62626-9600
- Phone
- (217) 854-4433
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 & Supplies — Oxygen Equipment & Supplies |
| Skilled Nursing Facility |
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