| NPI | 1003470634 |
|---|---|
| Doing Business As | PARK AVENUE HEALTH AND REHABILITATION CENTER |
| Entity Type | Organization |
| Authorized Contact | SOON BURNAM Treasurer 949-540-1249 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2019-04-29 |
| Last Update Date | 2019-04-29 |