NPI | 1437329828 |
---|---|
Doing Business As | HERITAGE WOODS OF MANTENO |
Entity Type | Organization |
Authorized Contact | WILLIAM M DAUGHTERY Managing Member 815-932-1992 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility |
Enumeration Date | 2008-03-03 |
Last Update Date | 2008-03-03 |