HERITAGE MANOR ELGIN, LLC

ELGIN, IL
NPI1871583955
Doing Business AsHERITAGE HEALTH - ELGIN
Entity TypeOrganization
Authorized ContactDAVID M UNDERWOOD
Sr. VP & CFO
309-828-4361
Organization Subpart ?Yes
Primary Taxonomy314000000X Skilled Nursing Facility
(Licence: IL  48132)
Additional Taxonomies332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies
(Licence: IL  0048132)
Enumeration Date2005-10-28
Last Update Date2014-05-27
Business Address
HERITAGE MANOR ELGIN, LLC
355 RAYMOND ST
ELGIN, IL 60120-7875
Phone number: 847-697-6636
Mailing Address
HERITAGE MANOR ELGIN, LLC
115 W JEFFERSON ST SUITE 401
BLOOMINGTON, IL 61701-3946
Phone number: 309-828-4361