Organization · Type 2 NPI

Heritage Manor Staunton LLC

Skilled Nursing Facility · Staunton, IL

NPI number 1629069331 Active

Practice location

215 W Pennsylvania St
Staunton, IL 62088-1127

Fax (618) 635-5580

Mailing address

115 W Jefferson St, Suite 401
Bloomington, IL 61701-3946

Specialties and licenses

TaxonomyCodeLicense
Skilled Nursing Facility Primary 314000000X0048876 (IL)

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

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About NPI 1629069331

Heritage Manor Staunton LLC's National Provider Identifier is 1629069331, issued on Nov 2, 2005. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Staunton, IL. The record was last updated on Apr 4, 2016.