Organization
HERITAGE PLACE OF LEXINGTON, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BETTY MORELL (ADMINISTRATOR)
(731) 967-0005
Entity
Organization
Contact information
Practice address
1735 N BROAD ST, LEXINGTON, TN 38351-4754
(731) 967-0005
(731) 967-0089
Mailing address
1735 N BROAD ST, LEXINGTON, TN 38351-4754
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
ACL0000000106
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
H445344
—
TN
Enumeration date
07/29/2011
Last updated
07/29/2011
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