HERITAGE MANOR - GIBSON CITY, LLC

GIBSON CITY, IL
NPI1699765719
Doing Business AsHERITAGE HEALTH - GIBSON CITY
Entity TypeOrganization
Authorized ContactDAVID M UNDERWOOD
Exec VP & CFO
309-828-4361
Organization Subpart ?Yes
Primary Taxonomy314000000X Skilled Nursing Facility
(Licence: IL  48116)
Additional Taxonomies332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies
(Licence: IL  0048116)
Enumeration Date2005-10-28
Last Update Date2022-03-21
Business Address
HERITAGE MANOR - GIBSON CITY, LLC
620 E 1ST ST
GIBSON CITY, IL 60936-1822
Phone number: 217-784-4257
Mailing Address
HERITAGE MANOR - GIBSON CITY, LLC
115 W JEFFERSON ST SUITE 401
BLOOMINGTON, IL 61701-3946
Phone number: 309-828-4361