Organization · Type 2 NPI

Heritage Manor Dwight, LLC

Skilled Nursing Facility · Dwight, IL

NPI number 1982695029 Active

Practice location

300 E Mazon Ave
Dwight, IL 60420-1104

Call (815) 584-1240 Map

Fax (815) 584-1267

Mailing address

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

Specialties and licenses

TaxonomyCodeLicense
Skilled Nursing Facility Primary 314000000X50492 (IL)
Oxygen Equipment & Supplies (DME) 332BX2000X50492 (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 1982695029

Heritage Manor Dwight, LLC's National Provider Identifier is 1982695029, issued on Oct 28, 2005. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Dwight, IL. The record was last updated on May 27, 2014.