| NPI | 1942261193 |
|---|---|
| Doing Business As | HERITAGE MANOR |
| Entity Type | Organization |
| Authorized Contact | TED LENEAVE Manager 515-963-1125 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IA 500884) |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2018-10-29 |