Organization
HERITAGE HEALTH CARE, LLC
Active
Other names
Heritage Health Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES EDWARD (TREASURER)
(573) 471-1113
Entity
Organization
Contact information
Practice address
1630 W 2ND ST, CHANUTE, KS 66720-1930
(620) 431-4151
(620) 431-6928
Mailing address
1630 W 2ND ST, CHANUTE, KS 66720-1930
(620) 431-4151
(620) 431-6928
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
N067005
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0100107930
—
KS
Enumeration date
07/07/2005
Last updated
10/18/2011
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