NPI | 1619976925 |
---|---|
Former Legal Business Name | HERITAGE CONVALESCENT HOPSITAL, INC. |
Entity Type | Organization |
Authorized Contact | LARRY E BEAR Chief Executive Officer 916-624-6230 |
Organization Subpart ? | Yes |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CA 030000122) |
Enumeration Date | 2005-07-19 |
Last Update Date | 2008-06-10 |