| NPI | 1457343170 |
|---|---|
| Doing Business As | HERITAGE HEALTH - BLOOMINGTON |
| Entity Type | Organization |
| Authorized Contact | DAVID M UNDERWOOD Sr. VP & CFO 309-828-4361 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IL 48157) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant |
| 225XP0019X Occupational Therapist, Physical Rehabilitation | |
| 2251G0304X Physical Therapist, Geriatrics | |
| 225200000X Physical Therapy Assistant | |
| 235Z00000X Speech-Language Pathologist, | |
| 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: IL 48157) | |
| Enumeration Date | 2005-08-18 |
| Last Update Date | 2014-05-27 |