# HEISMAN LLC

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

## Provider details

- **NPI number:** 1346084399
- **Authorized official:** BRANDON BURKINSHAW (COO)
- **Authorized official phone:** (480) 206-2229

## Contact information

- **Practice address:** 355 JOERSCHKE DR, GRASS VALLEY, CA 95945-5288
- **Practice address phone:** (530) 273-7247
- **Mailing address:** 2266 LAVA RIDGE CT STE 105, ROSEVILLE, CA 95661-2856
- **Mailing address phone:** (480) 206-2229

## Taxonomy

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

## Other

- **Enumeration date:** 06/24/2024
- **Last updated:** 06/24/2024