Heritage Board & Care Inc
Organization Active NPI Mental Illness Community Based Residential Treatment Facility · Longbeach, CA
NPI 1114199882 · NPPES record last updated Aug 13, 2020
Key facts
- NPI
- 1114199882
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Illness Community Based Residential Treatment Facility 320800000X
- Legal business name
- HERITAGE BOARD & CARE INC
- Practice address
- 2330 E 15TH St
Heritage Board & Care
Longbeach, CA 90804 - Phone
- (562) 433-7314
- Fax
- (562) 433-1316
- NPI assigned
- Apr 2, 2008
- Organization subpart
- No
Authorized official
- Name
- Mrs. Lilia Palad Baliwag
- Title
- Licensee
- Phone
- (562) 433-7314
Corporate family (same tax ID) 4
National Provider Directory
- Tax ID family
- Heritage Board Care Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Illness Community Based Residential Treatment Facility | 320800000X | Yes |
Addresses
Primary practice location
2330 E 15TH St
Heritage Board & Care
Longbeach, CA 90804
Mailing address
2330 E 15TH St
Heritage Board & Care
Longbeach, CA 90804
Phone (562) 433-7314
Other providers in Longbeach, CA
All providers in Longbeach, CA · Mental Illness Community Based Residential Treatment Facility in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 13, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.