1871583906 HERITAGE MANOR MENDOTA, LLC

Skilled Nursing Facility

Active

Basic Information

Organization Name
HERITAGE MANOR MENDOTA, LLC
Enumeration Date
October 28, 2005
Last Update
May 27, 2014
Authorized Official
MR. DAVID M UNDERWOOD
SR. VP & CFO
Phone: (309) 828-4361

Practice Location

Address
1201 1ST AVE
MENDOTA, IL 613421815
Phone
(815) 539-6745
Fax
(815) 538-2017

Mailing Address

Address
115 W JEFFERSON ST
SUITE 401
BLOOMINGTON, IL 617013946
Phone
(309) 828-4361
Fax
(309) 829-9512

Specialties & Taxonomies

Specialty Code Classification License State Primary
Oxygen Equipment & Supplies (DME)
Oxygen Equipment & Supplies
332BX2000X Durable Medical Equipment & Medical Supplies 0048108 IL No
Skilled Nursing Facility
314000000X Skilled Nursing Facility 48108 IL Primary

Frequently Asked Questions

What is HERITAGE MANOR MENDOTA, LLC's NPI number?
HERITAGE MANOR MENDOTA, LLC's NPI number is 1871583906.
Which doctor has NPI number 1871583906?
The doctor with NPI number 1871583906 is HERITAGE MANOR MENDOTA, LLC.
What is HERITAGE MANOR MENDOTA, LLC's practice address?
HERITAGE MANOR MENDOTA, LLC's practice address is 1201 1ST AVE, MENDOTA, IL, 613421815.
Which doctor practices at 1201 1ST AVE, MENDOTA, IL, 613421815?
HERITAGE MANOR MENDOTA, LLC practices at 1201 1ST AVE, MENDOTA, IL, 613421815.
What is HERITAGE MANOR MENDOTA, LLC's mailing address?
HERITAGE MANOR MENDOTA, LLC's mailing address is 115 W JEFFERSON ST, SUITE 401, BLOOMINGTON, IL, 617013946.
What is HERITAGE MANOR MENDOTA, LLC's phone number?
HERITAGE MANOR MENDOTA, LLC's phone number is (815) 539-6745.
Who is (815) 539-6745?
(815) 539-6745 is the phone number for HERITAGE MANOR MENDOTA, LLC.
What is HERITAGE MANOR MENDOTA, LLC's specialty?
HERITAGE MANOR MENDOTA, LLC's specialty is Skilled Nursing Facility.
What type of doctor is HERITAGE MANOR MENDOTA, LLC?
HERITAGE MANOR MENDOTA, LLC is a Skilled Nursing Facility.
Is HERITAGE MANOR MENDOTA, LLC a Skilled Nursing Facility?
Yes, HERITAGE MANOR MENDOTA, LLC is a Skilled Nursing Facility.
Is HERITAGE MANOR MENDOTA, LLC still practicing?
Yes, HERITAGE MANOR MENDOTA, LLC is currently practicing.
Is HERITAGE MANOR MENDOTA, LLC accepting new patients?
HERITAGE MANOR MENDOTA, LLC may be accepting new patients. Please call their office at (815) 539-6745 to inquire about availability.
Is NPI 1871583906 still active?
Yes, NPI 1871583906 is currently active.
Where does HERITAGE MANOR MENDOTA, LLC practice?
HERITAGE MANOR MENDOTA, LLC practices in MENDOTA, IL.