Organization
HERITAGE NURSING, LLC
Active
Other names
Heritage Nursing Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES REIKER (TREASURER)
(573) 417-1113
Entity
Organization
Contact information
Practice address
1802 SAINT FRANCIS ST, KENNETT, MO 63857-1568
(573) 888-1044
(573) 888-6036
Mailing address
1802 SAINT FRANCIS ST, P.O. BOX 827, KENNETT, MO 63857-1568
(573) 888-1044
(573) 888-6036
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
030266
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103404208
—
MO
Enumeration date
07/07/2005
Last updated
03/11/2013
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