| NPI | 1942657184 |
|---|---|
| Doing Business As | HERITAGE AT CROSSING HEALTHCARE |
| Entity Type | Organization |
| Authorized Contact | CANDACE CLEVENGER President/CEO 217-362-6262 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: IL 04070) |
| Enumeration Date | 2016-05-18 |
| Last Update Date | 2016-05-18 |