| NPI | 1073407599 |
|---|---|
| Doing Business As | HERITAGE ON HAMPTON ASSISTED LIVING FACILITY LLC |
| Entity Type | Organization |
| Authorized Contact | MARIO KIMBROUGH Member 414-803-7493 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2025-06-07 |
| Last Update Date | 2025-06-07 |