Organization
HERITAGE PARK SKILLED CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TERESA K. WILLIAMS (ADMINISTRATOR)
(573) 364-2311
Entity
Organization
Contact information
Practice address
1200 MCCUTCHEN RD, ROLLA, MO 65401-2615
(573) 364-2311
(573) 324-2748
Mailing address
1200 MCCUTCHEN RD, ROLLA, MO 65401-2615
(573) 364-2311
(573) 324-2748
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
031573
MO
Other
Enumeration date
09/16/2005
Last updated
08/22/2020
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