| NPI | 1871583906 |
|---|---|
| Doing Business As | HERITAGE HEALTH - MENDOTA |
| Entity Type | Organization |
| Authorized Contact | DAVID M UNDERWOOD Sr. VP & CFO 309-828-4361 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IL 48108) |
| Additional Taxonomies | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: IL 0048108) |
| Enumeration Date | 2005-10-28 |
| Last Update Date | 2014-05-27 |