699 South Park Road Operations LLC
NPI #1982888160 in Charleston, West Virginia
Provider Information
- NPI Number
- 1982888160
- Entity Type
- Organization
- Organization Name
- 699 South Park Road Operations LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Dec 24, 2007
- Last Updated
- Nov 14, 2011
Practice Location
- Address
- 699 S PARK RD
- City
- Charleston
- State
- West Virginia
- ZIP Code
- 25304-2627
- Phone
- (304) 925-4663
Authorized Official
- Name
- JANE DROPESKEY
- Title
- CORPORATE MANAGER
- Phone
- (610) 925-4231
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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