# HERITAGE HILLS NURSING CENTER INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Heritage Hills Living and Rehabilitation Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659369502
- **Authorized official:** MR. CHARLES FRANCIS HARDY III (PRESIDENT)
- **Authorized official phone:** (918) 691-1051

## Contact information

- **Practice address:** 411 N WEST ST, MCALESTER, OK 74501-4363
- **Practice address phone:** (918) 423-2920
- **Practice address fax:** (918) 423-1203
- **Mailing address:** 411 N WEST ST, MCALESTER, OK 74501-4363
- **Mailing address phone:** (918) 423-2920
- **Mailing address fax:** (918) 423-1203

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | NH6105 | OK | — |
| 314000000X | Skilled Nursing Facility | NH6105 | OK | Yes |

## Other

- **Enumeration date:** 10/13/2005
- **Last updated:** 11/11/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000375317001 | BLUE CROSS BLUE SHIELD | OK |
| 05 | — | 100684990A | — | OK |
