| NPI | 1366566085 |
|---|---|
| Doing Business As | HERITAGE SQUARE |
| Entity Type | Organization |
| Authorized Contact | JOHNNIE M BENSON Consultant Management 817-535-3827 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: TX 117764) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2020-08-22 |