NPI | 1114974243 |
---|---|
Doing Business As | PARK HAVEN HOME |
Entity Type | Organization |
Authorized Contact | BEATRICE A KNOWLSON Owner 440-992-8387 |
Organization Subpart ? | No |
Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: OH 6091) |
Enumeration Date | 2006-05-26 |
Last Update Date | 2020-08-22 |