| NPI | 1982822110 |
|---|---|
| Doing Business As | HERITAGE PLACE |
| Entity Type | Organization |
| Authorized Contact | RYAN SMITH CEO 907-714-4718 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2020-08-22 |