| NPI | 1225197239 |
|---|---|
| Doing Business As | HERITAGE PLACE ADULT LIVING CENTER |
| Entity Type | Organization |
| Authorized Contact | NICK E NIKOUYEH Administator 336-209-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NC HAL049003NC) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: NC hal-049-003) |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2008-07-14 |