NPI | 1134393754 |
---|---|
Doing Business As | HERITAGE WOODS OF CENTRALIA |
Entity Type | Organization |
Authorized Contact | KIM IOERGER RN/Senior Administrator 618-532-4590 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility |
Enumeration Date | 2008-04-15 |
Last Update Date | 2008-06-16 |