| NPI | 1811189616 |
|---|---|
| Doing Business As | HERITAGE WOODS OF MANTENO |
| Entity Type | Organization |
| Authorized Contact | KERI HORN Regional Director 815-468-3553 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2007-08-15 |
| Last Update Date | 2007-08-15 |