NPI | 1568846194 |
---|---|
Doing Business As | HERITAGE VILLA NURSING CENTER |
Entity Type | Organization |
Authorized Contact | ISAAC DOLE Manager 312-724-8950 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility |
Enumeration Date | 2015-07-14 |
Last Update Date | 2015-07-14 |