Parkside Home
NPI #1487658324 in Lisbon, North Dakota
Provider Information
- NPI Number
- 1487658324
- Entity Type
- Organization
- Organization Name
- Parkside Home
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Jun 9, 2005
- Last Updated
- Jul 10, 2007
Practice Location
- Address
- 501 - 3RD AVE WEST
- City
- Lisbon
- State
- North Dakota
- ZIP Code
- 58054-0153
- Phone
- (701) 683-5239
Authorized Official
- Name
- MR. WAYNE HENDRICKSON
- Title
- ADMINISTRATOR
- Phone
- (701) 683-5239
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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