HERITAGE MANOR - STREATOR is an oxygen equipment and supplies durable medical equipment medical supplies in Streator, IL. HERITAGE MANOR - STREATOR NPI is 1104160886. The provider is registered as an organization entity type.
The provider Is Doing Business As Heritage Health - Streator.
The provider's business location address is:
1525 E MAIN ST
STREATOR, IL
ZIP 61364-162
Phone: (815) 672-4516
Fax: (815) 672-5466
The provider's authorized official is David M Underwood .
The authorized official title is Sr Vp & Cfo and has the following contact phone number (309) 823-7135.
The CLIA number assigned to this NPI record is 14D0431161 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 11/19/2012 and was last updated on 4/24/2014.