# HERITAGE HOUSE OF RICHMOND

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

## Provider details

- **NPI number:** 1467590562
- **Authorized official:** MRS. PAMELA DEPREZ (CORPORATE OFFICER)
- **Authorized official phone:** (765) 529-2961

## Contact information

- **Practice address:** 2070 CHESTER BLVD, RICHMOND, IN 47374-1215
- **Practice address phone:** (765) 962-3543
- **Practice address fax:** (765) 935-5060
- **Mailing address:** 2070 CHESTER BLVD, RICHMOND, IN 47374-1215
- **Mailing address phone:** (765) 962-3543
- **Mailing address fax:** (765) 935-5060

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 06-000133-1 | IN | Yes |

## Other

- **Enumeration date:** 02/01/2007
- **Last updated:** 04/25/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100266080 | — | IN |