Organization
HERITAGE ASSISTED LIVING OF WATERTOWN, LLC
Active
Parent organization
THE LUTHERAN HOME ASSOCIATION
Other names
Heritage Homes Assisted Living
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE LUTHERAN HOME ASSOCIATION
Authorized official
LAURIE REHM NHA (ADMINISTRATOR)
(920) 206-9448
Entity
Organization
Contact information
Practice address
700 WELSH RD, WATERTOWN, WI 53098-4266
(920) 206-9448
(920) 567-2038
Mailing address
700 WELSH RD, WATERTOWN, WI 53098-4266
(920) 206-9448
(920) 567-2038
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
0013392
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0013392
COMMUNITY-BASED RESIDENTIAL FACILITY LICENSE
WI
Enumeration date
12/20/2010
Last updated
12/20/2010
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