NPI 1811189616
Heritage Woods Watseka/Manteno
Practice location
- Address
- 355 Diversatech Dr, Manteno, IL 60950-9274
- Phone
- (815) 468-3553
- Fax
- (815) 468-3888
Authorised official
- Name
- Keri Horn
- Title
- Regional Director
- Phone
- (815) 468-3553
Registered specialties
Assisted Living Facility
Primary
Registry record
- NPI
- 1811189616
- Entity type
- Organization
- NPI issued
- 15 Aug 2007
- Record last updated
- 15 Aug 2007
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.