| NPI | 1952980260 |
|---|---|
| Doing Business As | HERITAGE PLACE II |
| Entity Type | Organization |
| Authorized Contact | JASON NIKOUYEH President 336-313-3120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2021-04-05 |
| Last Update Date | 2021-04-05 |