Organization
NINTH STREET HEALTH CARE ASSOCIATES LLC
Active
Other names
Heritage Healthcare and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISSANDA D. WALKER (MANAGER)
(239) 261-8126
Entity
Organization
Contact information
Practice address
777 9TH ST N, NAPLES, FL 34102-8135
(239) 261-8126
(239) 261-8647
Mailing address
777 9TH ST N, NAPLES, FL 34102-8135
(239) 261-8126
(239) 261-8647
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
SNF1224096
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
025228000
—
FL
Enumeration date
05/26/2006
Last updated
04/17/2013
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