| NPI | 1356391056 |
|---|---|
| Doing Business As | HERITAGE PARK |
| Entity Type | Organization |
| Authorized Contact | JUDY ULLERY President 901-937-7994 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: UT 2005-NCF-468) |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2010-06-14 |