# HERITAGE HOUSE OF CLINTON, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174511224
- **Authorized official:** MR. PHILLIP BROWN (PRESIDENT)
- **Authorized official phone:** (317) 398-6809

## Contact information

- **Practice address:** 375 S 11TH ST, CLINTON, IN 47842-1053
- **Practice address phone:** (765) 832-2491
- **Practice address fax:** (765) 832-2685
- **Mailing address:** 375 S 11TH ST, CLINTON, IN 47842-1053
- **Mailing address phone:** (765) 832-2491
- **Mailing address fax:** (765) 832-2685

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | IN | Yes |

## Other

- **Enumeration date:** 10/12/2005
- **Last updated:** 08/22/2020