Organization
HERITAGE HOUSE OF RICHMOND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAMELA DEPREZ (CORPORATE OFFICER)
(765) 529-2961
Entity
Organization
Contact information
Practice address
2070 CHESTER BLVD, RICHMOND, IN 47374-1215
(765) 962-3543
(765) 935-5060
Mailing address
2070 CHESTER BLVD, RICHMOND, IN 47374-1215
(765) 962-3543
(765) 935-5060
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
06-000133-1
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100266080
—
IN
Enumeration date
02/01/2007
Last updated
04/25/2008
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