| NPI | 1659362556 |
|---|---|
| Doing Business As | HERITAGE HEALTH - JACKSONVILLE |
| Entity Type | Organization |
| Authorized Contact | DAVID M UNDERWOOD Sr. VP Controller 309-828-4361 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IL 048918) |
| Enumeration Date | 2005-10-31 |
| Last Update Date | 2014-05-27 |