| NPI | 1952463374 |
|---|---|
| Doing Business As | HERITAGE HEALTHCARE |
| Entity Type | Organization |
| Authorized Contact | RAELENE L. WING Executive Director 765-463-1541 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: IN 060002711) |
| Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: IN 060002711) |
| 315D00000X Hospice, Inpatient (Licence: IN 060002711) | |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2021-09-15 |