Organization
HERITAGE HEALTHCARE HOLDINGS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GINA FOX (PRESIDENT)
(816) 390-5970
Entity
Organization
Contact information
Practice address
5026 FARAON ST, SAINT JOSEPH, MO 64506-3375
(816) 279-1591
(816) 232-3775
Mailing address
5026 FARAON ST, SAINT JOSEPH, MO 64506-3375
(816) 279-1591
(816) 232-3775
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
032413
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101478006
—
MO
Enumeration date
07/18/2015
Last updated
07/21/2015
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