| NPI | 1235868381 |
|---|---|
| Doing Business As | AGESTRONG PARADISE VILLAGE |
| Entity Type | Organization |
| Authorized Contact | STACI TONE Controller 971-206-5125 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
| Enumeration Date | 2022-06-06 |
| Last Update Date | 2024-02-19 |