OrganizationActive
Heritage Manor - Dwight, LLC
NPI 1679817316 · Oxygen Equipment & Supplies (DME) · Dwight, IL
Provider details
- NPI number
- 1679817316
- 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
Suppliers
Practice location
300 E Mazon Ave
Dwight, IL 60420-1104
Phone: (815) 584-1240
Fax: (815) 584-1267
Approximate (ZIP-level) locationGet directions
Mailing address
115 W Jefferson St
Bloomington, IL 61701-3946
Other names (DBA / former)
- Doing business as
- Heritage Health - Dwight
Registry dates
- Enumerated
- 2012-11-19
- Last updated
- 2016-09-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.