Heritage Manor Elgin, LLC

NPI #1871583955 in Elgin, Illinois

Provider Information

NPI Number
1871583955
Entity Type
Organization
Organization Name
Heritage Manor Elgin, 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

Address
355 RAYMOND ST
City
Elgin
ZIP Code
60120-7875
Phone
(847) 697-6636

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 & SuppliesOxygen Equipment & Supplies
Skilled Nursing Facility

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