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NPI Code Detail

MEDICARE: HERITAGE SENIOR CARE INC

MEDICARE: HERITAGE SENIOR CARE INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1253Z00000XIn Home Supportive Care Agency

General Provider Information

NPI Number : 1033449772
Entity Type Code : Organization
Provider Name (Legal Business Name) : HERITAGE SENIOR CARE INC
Provider Business Mailing Address
First Line : 2885 HOPE AVE
Second Line :
City : CARLSBAD
State : CA
Zip : 92008-1833
Country : US
Telephone Number : 760-720-7740
Fax Number : 760-720-7744
Provider Business Practice Location Address
First Line : 2885 HOPE AVE
Second Line :
City : CARLSBAD
State : CA
Zip : 92008-1833
Country : US
Telephone Number : 760-720-7740
Fax Number : 760-720-7744
Authorized Official
Title or Position : PRESIDENT
Name : RONI Y MAYBEN
Credential :
Telephone Number : 760-729-5671
Provider Enumeration Date : 12/31/2009
Last Update Date : 12/31/2009

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Directions to “HERITAGE SENIOR CARE INC ” Practice Location

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