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Organization
HERITAGE HILLS NURSING CENTER INC
Active
Organization
HERITAGE HILLS NURSING CENTER INC
Active
Other names
Heritage Hills Living and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES FRANCIS HARDY III (PRESIDENT)
(918) 691-1051
Entity
Organization
Contact information
Practice address
411 N WEST ST, MCALESTER, OK 74501-4363
(918) 423-2920
(918) 423-1203
Mailing address
411 N WEST ST, MCALESTER, OK 74501-4363
(918) 423-2920
(918) 423-1203
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
NH6105
OK
314000000X
Skilled Nursing Facility
Primary
NH6105
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000375317001
BLUE CROSS BLUE SHIELD
OK
05
—
100684990A
—
OK
Enumeration date
10/13/2005
Last updated
11/11/2008
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