NPI | 1619078938 |
---|---|
Doing Business As | PARKSIDE VILLA |
Entity Type | Organization |
Authorized Contact | BRUCE DASKAL President/CEO 216-898-8399 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: OH 6138) |
Enumeration Date | 2006-09-26 |
Last Update Date | 2020-08-22 |