| NPI | 1962623942 |
|---|---|
| Doing Business As | HERITAGE GROVE |
| Entity Type | Organization |
| Authorized Contact | JODI DALY President/CEO 509-575-4084 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 310500000X Intermediate Care Facility, Mental Illness |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2019-07-19 |