Heritage Estates, Inc.

NPI #1629263231 in Manteca, California

Provider Information

NPI Number
1629263231
Entity Type
Organization
Organization Name
Heritage Estates, Inc.
Subpart
Yes (part of a larger organization)
Parent Organization
HERITAGE ESTATES INC
Primary Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date
Sep 7, 2007
Last Updated
Jun 16, 2008

Practice Location

Address
790 TAHOE ST
ZIP Code
95337-6817
Phone
(209) 823-6061

Authorized Official

Name
MS. MARY A PERRY
Title
SECRETARY/TREASURER
Phone
(209) 823-6061

Specialties & Taxonomy Codes

Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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Heritage Estates, Inc.

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