# HERITAGE CHARITABLE ORGANIZATION

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

## Provider details

- **NPI number:** 1649442294
- **Authorized official:** MRS. DEBORAH C WASHAM RN (ADMINISTRATOR)
- **Authorized official phone:** (816) 405-1274

## Contact information

- **Practice address:** 12435 WORNALL RD, KANSAS CITY, MO 64145-1119
- **Practice address phone:** (816) 405-1274
- **Practice address fax:** (816) 943-1235
- **Mailing address:** 12435 WORNALL RD, KANSAS CITY, MO 64145-1119
- **Mailing address phone:** (816) 405-1274
- **Mailing address fax:** (816) 943-1235

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | Yes |
| 320700000X | Physical Disabilities Residential Treatment Facility | 067295 | MO | — |

## Other

- **Enumeration date:** 03/24/2008
- **Last updated:** 06/16/2008
