| NPI | 1972946382 |
|---|---|
| Doing Business As | HERITAGE WOODS OF MCLEANSBORO |
| Entity Type | Organization |
| Authorized Contact | KENDRA JO MILLENBINE Administrator 618-643-2908 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: IL 001) |
| Enumeration Date | 2013-04-16 |
| Last Update Date | 2022-07-21 |