Organization
HERITAGE CENTER, LLC
Active
Other names
Heritage Plantation
Organization subpart
No
Provider details
NPI number
Authorized official
TISHA TUTTLE LOFLIN (CO-ADMINISTRATOR)
(336) 853-7670
Entity
Organization
Contact information
Practice address
2809 OLD CONCORD RD, SALISBURY, NC 28146-1339
(704) 637-5465
(704) 637-5422
Mailing address
1025 LAMB RD, LEXINGTON, NC 27295-5229
(336) 853-7670
(336) 853-7671
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7804918
PROVIDER NUMBER
NC
Enumeration date
10/25/2006
Last updated
05/20/2009
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