| NPI | 1194514547 |
|---|---|
| Doing Business As | HERITAGE VILLAGE |
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER DOAN Managing Associate General Counsel 310-259-4706 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2025-05-02 |
| Last Update Date | 2025-05-02 |