NPI | 1922036060 |
---|---|
Doing Business As | HERITAGE PLACE |
Entity Type | Organization |
Authorized Contact | RICHARD DAVIS CEO 907-714-4723 |
Organization Subpart ? | Yes |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: AK 736259) |
Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: AK 736259) |
Enumeration Date | 2006-06-29 |
Last Update Date | 2014-12-26 |