HERITAGE MANOR NORMAL, LLC

NORMAL, IL
NPI1841281979
Doing Business AsHERITAGE HEALTH - NORMAL
Entity TypeOrganization
Authorized ContactDAVID M UNDERWOOD
Sr. VP & CFO
309-823-7135
Organization Subpart ?Yes
Primary Taxonomy314000000X Skilled Nursing Facility
(Licence: IL  0038281)
Additional Taxonomies332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies
(Licence: IL  0048082)
Enumeration Date2005-10-28
Last Update Date2014-07-23
Business Address
HERITAGE MANOR NORMAL, LLC
509 N ADELAIDE ST
NORMAL, IL 61761-2422
Phone number: 309-452-7468
Mailing Address
HERITAGE MANOR NORMAL, LLC
115 W JEFFERSON ST SUITE 401
BLOOMINGTON, IL 61701-3946
Phone number: 309-823-7135