Heritage Manor Dwight, LLC

NPI #1982695029 in Dwight, Illinois

Provider Information

NPI Number
1982695029
Entity Type
Organization
Organization Name
Heritage Manor Dwight, 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
300 E MAZON AVE
City
Dwight
ZIP Code
60420-1104
Phone
(815) 584-1240

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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