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Organization

HERITAGE 1, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MILO PINKERTON (OWNER)
(952) 351-4552
Entity
Organization

Contact information

Practice address
3706 DAMON ST, EAU CLAIRE, WI 54701-9265
(952) 351-4552
Mailing address
1295 NORTHLAND DR STE 270, MENDOTA HEIGHTS, MN 55120-1373
(952) 351-4552

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary

Other

Enumeration date
04/30/2020
Last updated
04/30/2020
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