NPI | 1871583955 |
---|---|
Doing Business As | HERITAGE HEALTH - ELGIN |
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 48132) |
Additional Taxonomies | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: IL 0048132) |
Enumeration Date | 2005-10-28 |
Last Update Date | 2014-05-27 |