# HERITAGE HOUSE OF SALEM

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

## Provider details

- **NPI number:** 1538158480
- **Authorized official:** MR. PHIL BROWN (CCO)
- **Authorized official phone:** (317) 398-6809

## Contact information

- **Practice address:** 200 CONNIE AVE, SALEM, IN 47167-2306
- **Practice address phone:** (812) 883-1877
- **Mailing address:** 200 CONNIE AVE, SALEM, IN 47167-2306
- **Mailing address phone:** (812) 883-1877

## Taxonomy

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

## Other

- **Enumeration date:** 10/13/2005
- **Last updated:** 08/22/2020