Pgn Op Park LLC
NPI #1063026755 in Edgerton, Ohio
Provider Information
- NPI Number
- 1063026755
- Entity Type
- Organization
- Organization Name
- Pgn Op Park LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Sep 1, 2020
- Last Updated
- Sep 1, 2020
Practice Location
Authorized Official
- Name
- SAMUEL GOLDNER
- Title
- AUTHORIZED OFFICIAL
- Phone
- (732) 645-9800
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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