NPI 1023731759

Heisinger Bluffs Opco LLC

Organisation Assisted Living Facility Jefferson City, MO

Practice location

Address: 1002 W Main St, Jefferson City, MO 65109-6901
Phone: (573) 636-6288
Mailing address: 1135 E Veterans Hwy STE 1, Jackson, NJ 08527-5090

Authorised official

Name: Elazar Fischer
Title: Manager
Phone: (617) 895-9122

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X

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Registry record

NPI: 1023731759
Entity type: Organization
NPI issued: 19 Sep 2022
Record last updated: 19 Sep 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.