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Heritage Manor - Walnut, LLC — NPI 1417201963, Walnut, IL | NPI Central

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NPI 1417201963

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Heritage Manor - Walnut, LLC

NPI 1417201963 · Oxygen Equipment & Supplies (DME) · Walnut, IL

Provider details

NPI number: 1417201963
Entity type: Organization
Primary specialty: Oxygen Equipment & Supplies (DME)Suppliers
Parent organization: Heritage Enterprises, Inc
Organization subpart: Yes
Authorized official: David Underwood, Exec Vp, Cfo(309) 823-7135

Specialties & taxonomies

Oxygen Equipment & Supplies (DME)Primary332BX2000X
Suppliers

Practice location

308 S 2nd St

Walnut, IL 61376-9364

Phone: (815) 379-2131

Fax: (815) 379-2235

Approximate (ZIP-level) locationGet directions

More IL providers

Mailing address

115 W Jefferson St

Bloomington, IL 61701-3946

Other names (DBA / former)

Doing business as: Heritage Health

Registry dates

Enumerated: 2012-11-06
Last updated: 2016-10-18

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.