# HERITAGE HEALTH CARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Heritage Health Care Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780682468
- **Authorized official:** MR. JAMES EDWARD (TREASURER)
- **Authorized official phone:** (573) 471-1113

## Contact information

- **Practice address:** 1630 W 2ND ST, CHANUTE, KS 66720-1930
- **Practice address phone:** (620) 431-4151
- **Practice address fax:** (620) 431-6928
- **Mailing address:** 1630 W 2ND ST, CHANUTE, KS 66720-1930
- **Mailing address phone:** (620) 431-4151
- **Mailing address fax:** (620) 431-6928

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | N067005 | KS | Yes |

## Other

- **Enumeration date:** 07/07/2005
- **Last updated:** 10/18/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0100107930 | — | KS |