| NPI | 1770541922 |
|---|---|
| Doing Business As | HERITAGE MANOR WEST |
| Entity Type | Organization |
| Authorized Contact | TONI PARKINSON Authorized Representative 6017-091-4708 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: LA 2203782206) |
| Additional Taxonomies | 385H00000X Respite Care (Licence: LA 2203782206) |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2015-06-22 |