NPI | 1497745723 |
---|---|
Doing Business As | HERITAGE CONVALESCENT CENTER |
Entity Type | Organization |
Authorized Contact | RUEGENA DAVIDSON Administrator 806-352-5295 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: TX 000403104) |
Enumeration Date | 2005-10-27 |
Last Update Date | 2020-08-22 |