| NPI | 1629079975 |
|---|---|
| Doing Business As | PARK AVENUE HEALTH AND REHABILITAION CENTER |
| Entity Type | Organization |
| Authorized Contact | SOON BURNAM Authorized Agent 949-540-1249 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: AZ NCI-2639) |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2021-02-16 |