Organization Name: | HERITAGE NH, LLC |
NPI Number: | 1255336988 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RONALD SWARTZ (CFO) |
Mailing Address: | 2201 Ne 170th St N Miami Beach |
State: | FL US |
Postal Code: | 331603705 |
Phone Number: | 3059451404 |
Fax Number: | 3059458280 |
NPI Enumeration Date: | 06/17/2005 |
NPI Last Update Date: | 08/01/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BP3500X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Parenteral & Enteral Nutrition |
Taxonomy Definition: |