NPI | 1669535118 |
---|---|
Doing Business As | HERITAGE SENIOR CARE |
Entity Type | Organization |
Authorized Contact | SCOTT TALBOT Operations Manager 970-224-1596 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO 36358) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology |
Enumeration Date | 2006-12-18 |
Last Update Date | 2014-01-07 |