NPI | 1326154527 |
---|---|
Doing Business As | PARK EAST CENTER |
Entity Type | Organization |
Authorized Contact | MICHAEL T BERG Assistant Secretary 505-468-4742 |
Organization Subpart ? | Yes |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: OH 5148) |
Enumeration Date | 2006-08-21 |
Last Update Date | 2015-09-24 |