Organization · Type 2 NPI

Heritage Assisted Living of Watertown, LLC

Assisted Living Facility · Watertown, WI

NPI number 1952604688 Active

Practice location

700 Welsh Rd
Watertown, WI 53098-4266

Fax (920) 567-2038

Specialties and licenses

Taxonomy	Code	License
Assisted Living Facility Primary	310400000X	0013392 (WI)

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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NPI record

NPI: 1952604688
Entity type: Organization (Type 2)
Issued: Dec 20, 2010
Last updated: Dec 20, 2010
Status: Active
Subpart: Yes of The Lutheran Home Association

Other names

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Heritage Homes Assisted Living · doing business as

Authorized official

Laurie Rehm, NHA
Administrator
(920) 206-9448

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1952604688

Heritage Assisted Living of Watertown, LLC's National Provider Identifier is 1952604688, issued on Dec 20, 2010. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Watertown, WI. The record was last updated on Dec 20, 2010.