Heritage Manor - Pana, Llc is a health care provider in Bloomington, IL. In this page you will find its mailing address, practice location, phone number, specialty etc.
|Practice Location||1000 E 6th St, Pana, IL 62557-1870, US|
|Practice Location Phone||217-562-2174|
|Practice Location Fax||217-562-7242|
|Legal Business Name||HERITAGE MANOR - PANA, LLC|
|Other Organization Name||HERITAGE HEALTH - PANA|
|Other Organization Name Type||Doing Business As Name|
|Enumeration Date ?||Nov 19, 2012|
|Last Update Date ?||Apr 24, 2014|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
|Specialty||Provider Type||Specialization||License||License State|
|Durable Medical Equipment & Medical Supplies||Suppliers||Oxygen Equipment & Supplies|
An authorized official is an appointed official with the legal authority to make changes and/or updates to the Heritage Manor - Pana, Llc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).
|Authorized Official||David M Underwood (CPA)|
|Authorized Official Title/Position||SR VP & CFO|
|Authorized Official Phone Number||309-823-7135|