Organization
HERITAGE REHAB, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARL MILLER JR. (CEO)
(503) 570-3405
Entity
Organization
Contact information
Practice address
7411 PACIFIC AVE, TACOMA, WA 98408-7118
(253) 474-8456
(253) 471-2076
Mailing address
25117 SW PARKWAY AVE, SUITE F, WILSONVILLE, OR 97070-9697
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH1252
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4112520
—
WA
Enumeration date
01/06/2006
Last updated
08/22/2020
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