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Heritage Manor - Dwight, LLC — NPI 1679817316, Dwight, IL | NPI Central

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NPI 1679817316

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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

Oxygen Equipment & Supplies (DME)Primary332BX2000X
Suppliers

Practice location

300 E Mazon Ave

Dwight, IL 60420-1104

Phone: (815) 584-1240

Fax: (815) 584-1267

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 - 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.