NPI | 1962619577 |
---|---|
Doing Business As | HERITAGE LODGE ASSISTED LIVING |
Entity Type | Organization |
Authorized Contact | SUZETTE MCCANLESS Vice President Of Operations 229-985-0607 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NC hal-054-010) |
Enumeration Date | 2007-05-16 |
Last Update Date | 2020-08-22 |