| 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 |