Park Vista Il Ops LLC
NPI #1235739459 in Youngstown, Ohio
Provider Information
- NPI Number
- 1235739459
- Entity Type
- Organization
- Organization Name
- Park Vista Il Ops LLC
- Primary Specialty
- Custodial Care Facility - Adult Care Home
- Enumeration Date
- Oct 27, 2020
- Last Updated
- Oct 27, 2020
Practice Location
- Address
- 1216 5TH AVE
- City
- Youngstown
- State
- Ohio
- ZIP Code
- 44504-1605
- Phone
- (330) 746-2944
Authorized Official
- Name
- SHLOMO MUSHELL
- Title
- MANAGER
- Phone
- (917) 251-5131
Specialties & Taxonomy Codes
| Specialty |
|---|
| Custodial Care Facility - Adult Care Home — Adult Care Home |
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