Heritage Manor Mendota, LLC
NPI #1871583906 in Mendota, Illinois
Provider Information
- NPI Number
- 1871583906
- Entity Type
- Organization
- Organization Name
- Heritage Manor Mendota, 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
- May 27, 2014
Practice Location
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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