Professional Park Leasing Co., LLC
NPI #1679295414 in Summersville, West Virginia
Provider Information
- NPI Number
- 1679295414
- Entity Type
- Organization
- Organization Name
- Professional Park Leasing Co., LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Sep 19, 2022
- Last Updated
- May 1, 2025
Practice Location
- Address
- 712 PROFESSIONAL PARK DR
- City
- Summersville
- State
- West Virginia
- ZIP Code
- 26651-2000
- Phone
- (304) 926-2756
Authorized Official
- Name
- CHARLES STOLTZ
- Title
- TREASURER
- Phone
- (513) 530-1808
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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