HERITAGE MANOR - LASALLE, LLC is an oxygen equipment and supplies durable medical equipment medical supplies in Bloomington, IL. HERITAGE MANOR - LASALLE, LLC NPI is 1366786444. The provider is registered as an organization entity type.
The provider Is Doing Business As Heritage Health.
The provider's business location address is:
115 W JEFFERSON ST
SUITE 401
BLOOMINGTON, IL
ZIP 61701-946
Phone: (309) 828-4361
Fax: (309) 829-5477
The provider's authorized official is Craig L Ater .
The authorized official title is Exec Vp and has the following contact phone number (309) 823-7135.
The enumeration date for this NPI number is 11/15/2012 and was last updated on 11/15/2012.