Heritage Of St Paul, Inc

NPI 1457460230 - Skilled Nursing Facility - 314000000X

NPI Details
NPI 1457460230
Enumeration Date 08/29/2006
Last Updated 07/17/2013
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name JACK DEAN JACK
Position PRESIDENT
Phone (308) 754-5486
Fax (308) 754-5385
Practice Location
1405 HERITAGE DR
SAINT PAUL NE, 68873-3618, US
Phone (308) 754-5486
Fax (308) 754-5385
Business Location
1405 HERITAGE DR
SAINT PAUL NE, 68873-3618, US
Phone (308) 754-5486
Fax (308) 754-5385
Toxanomy
Taxonomy Code 314000000X
License State Nebraska
License Number 434001
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According to our database, Heritage Of St Paul, Inc NPI is 1457460230, taxonomy code is 314000000X and license number is 434001, license state is located at Nebraska. Heritage Of St Paul, Inc physically located at 1405 Heritage Dr, Saint Paul NE, 68873-3618. NPI Number 1033115704 has the healthcare provider type.

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1457460230 NPI number is provided on an as is basis without warranty of any kind. 1457460230 is maintained by the National Plan & Provider Enumeration System. The contents of Heritage Of St Paul, Inc are for informational purposes only.