| NPI | 1669899910 |
|---|---|
| Other Name | PARKSIDE ESTATES SENIOR RESIDENCE |
| Entity Type | Organization |
| Authorized Contact | GREGORY SCOTT RICHARDS Adminstrator 734-692-0877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: MI AS820313332) |
| Enumeration Date | 2014-03-25 |
| Last Update Date | 2014-03-25 |