NPI | 1841281979 |
---|---|
Doing Business As | HERITAGE HEALTH - NORMAL |
Entity Type | Organization |
Authorized Contact | DAVID M UNDERWOOD Sr. VP & CFO 309-823-7135 |
Organization Subpart ? | Yes |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IL 0038281) |
Additional Taxonomies | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: IL 0048082) |
Enumeration Date | 2005-10-28 |
Last Update Date | 2014-07-23 |