Videll Healthcare Park Place, LLC
NPI #1609129295 in Hyde Park, Massachusetts
Provider Information
- NPI Number
- 1609129295
- Entity Type
- Organization
- Organization Name
- Videll Healthcare Park Place, LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Oct 19, 2012
- Last Updated
- Apr 16, 2013
Practice Location
- Address
- 113 CENTRAL AVE
- City
- Hyde Park
- State
- Massachusetts
- ZIP Code
- 02136-3021
- Phone
- (617) 361-2388
Authorized Official
- Name
- STEPHEN J LAFORTE
- Title
- MANAGER
- Phone
- (253) 277-3197
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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