Home » Illinois » 62557 » Heritage Manor - Pana, Llc

Heritage Manor - Pana, Llc

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.

physician-icon Basic Information

Practice Location 1000 E 6th St, Pana, IL 62557-1870, US
Practice Location Phone217-562-2174
Practice Location Fax217-562-7242
Legal Business NameHERITAGE MANOR - PANA, LLC
Other Organization NameHERITAGE HEALTH - PANA
Other Organization Name TypeDoing Business As Name
NPI ?1629312335
Entity TypeOrganization
Enumeration Date ? Nov 19, 2012
Last Update Date ? Apr 24, 2014
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Heritage Manor - Pana, Llc

SpecialtySpecializationLicenseLicense State
Durable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies

official-icon Authorized Official of Heritage Manor - Pana, Llc

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/PositionSR VP & CFO
Authorized Official Phone Number309-823-7135