Organization · Type 2 NPI

Heritage 11, LLC

Assisted Living Facility · Middleton, WI

NPI number 1114548138 Active

Practice location

6234 Maywood Ave
Middleton, WI 53562-2205

Mailing address

1295 Northland Dr Ste 270
Mendota Heights, MN 55120-1373

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility Primary 310400000XNone listed

Assisted Living Facility: 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.

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About NPI 1114548138

Heritage 11, LLC's National Provider Identifier is 1114548138, issued on Apr 30, 2020. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Middleton, WI. The record was last updated on Apr 30, 2020.