Organization
HERITAGE HEALTH CARE, INC.
Active
Other names
Heritage Gardens Health Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES B. KILIAN (CHIEF FINANCIAL OFFICER)
(909) 796-2595
Entity
Organization
Contact information
Practice address
25271 BARTON RD, LOMA LINDA, CA 92354-3013
(909) 796-0216
(909) 799-6656
Mailing address
PO BOX 3000, LOMA LINDA, CA 92354-9000
(909) 796-0216
(909) 799-6656
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
240000146
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
240000146
STATE LICENSE NUMBER
CA
05
—
ZZT05183F
—
CA
Enumeration date
02/09/2006
Last updated
11/30/2016
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