| NPI | 1487891297 |
|---|---|
| Doing Business As | HERITAGE SQUARE |
| Entity Type | Organization |
| Authorized Contact | DOUG SWEENEY President 817-535-3827 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: TX 125703) |
| Enumeration Date | 2009-01-15 |
| Last Update Date | 2009-01-15 |