# HERITAGE HEALTHCARE INC

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

## Provider details

- **NPI number:** 1588640833
- **Authorized official:** MS. LISA ROLL 2984 (ADMINISTRATOR)
- **Authorized official phone:** (918) 335-3222

## Contact information

- **Practice address:** 1244 WOODLAND LOOP, BARTLESVILLE, OK 74006-5224
- **Practice address phone:** (918) 335-3222
- **Practice address fax:** (918) 333-5111
- **Mailing address:** 1244 WOODLAND LOOP, BARTLESVILLE, OK 74006-5224
- **Mailing address phone:** (918) 335-3222
- **Mailing address fax:** (918) 333-5111

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | NH74057405 | OK | Yes |

## Other

- **Enumeration date:** 12/19/2005
- **Last updated:** 08/22/2020