| NPI | 1912181223 |
|---|---|
| Doing Business As | HERITAGE CENTER |
| Entity Type | Organization |
| Authorized Contact | MICHAEL T. BERG Assistant Secretary 505-468-4752 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: WV 69) |
| Enumeration Date | 2007-12-21 |
| Last Update Date | 2016-05-04 |