Parkside Opco LLC
NPI #1275363194 in Union Gap, Washington
Provider Information
- NPI Number
- 1275363194
- Entity Type
- Organization
- Organization Name
- Parkside Opco LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Aug 5, 2024
- Last Updated
- Aug 5, 2024
Practice Location
- Address
- 308 W EMMA ST
- City
- Union Gap
- State
- Washington
- ZIP Code
- 98903-1940
- Phone
- (509) 248-1985
Authorized Official
- Name
- LEVI LAZAR
- Title
- AUTHORIZED REPRESENTATIVE
- Phone
- (917) 754-7700
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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