Heritage Manor Pch, Inc. in Monticello - Assisted Living Facility

Heritage Manor Pch, Inc. - NPI 1922271360

Heritage Manor Pch, Inc. is a Assisted Living Facility in Monticello, Mississippi. Heritage Manor Pch, Inc. practices all healthcare services and medical treatments related to Assisted Living Facility. The NPI Number for Heritage Manor Pch, Inc. is 1922271360. The last update date is 2008-04-07.

Heritage Manor Pch, Inc.'s current location address is Po Box 1337, Monticello, Mississippi. You can contact this provider via phone number 6018867251 and fax number 6018869990. The mailing address for Heritage Manor Pch, Inc. is Po Box 1337, Monticello, Mississippi. To know further, please read the information below!

Provider Profile Detail

Provider Organization Heritage Manor Pch, Inc.
Address Po Box 1337, Monticello, Mississippi
Phone Number 6018867251
Fax Number 6018869990
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Hudspeth Ann Carrol
Telephone Number 6017570059

NPI Number Detail

NPI Number 1922271360
Provider Enumeration Date 2008-04-07
Last Updated Date 2008-04-07

Provider Mailing Address Detail

Address Po Box 1337
City Monticello
State Mississippi (MS)
Post Code 396541337
Phone Number 6018867251
Fax Number 6018869990

Provider's Primary Taxonomy Detail

Speciality Assisted Living Facility
Taxonomy 310400000X
Licence No 875
Definition:
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
6376862 MS --

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FAQs about Heritage Manor Pch, Inc.

What is the unique identifier code issued to Heritage Manor Pch, Inc. by the Centers for Medicare & Medicaid Services?

The Heritage Manor Pch, Inc. has been assigned the NPI (National Provider Identifier) 1922271360. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Where is the Heritage Manor Pch, Inc. located?

The Heritage Manor Pch, Inc. is located at Po Box 1337, Monticello, MS 396541337.

What is the Heritage Manor Pch, Inc.'s specialty and taxonomy code?

The Heritage Manor Pch, Inc.'s specialty is Assisted Living Facility, and the corresponding taxonomy code is 310400000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1922271360 to Heritage Manor Pch, Inc.?

The Centers for Medicare & Medicaid Services originally issued the 1922271360 to Heritage Manor Pch, Inc. on 2008-04-07.

As of what date were the Heritage Manor Pch, Inc.'s details last updated?

The information pertaining to the Heritage Manor Pch, Inc., including its address, specialty, and other details, was most recently updated on 2008-04-07.

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