# PARK VISTA IL OPS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235739459
- **Authorized official:** SHLOMO MUSHELL (MANAGER)
- **Authorized official phone:** (917) 251-5131

## Contact information

- **Practice address:** 1216 5TH AVE, YOUNGSTOWN, OH 44504-1605
- **Practice address phone:** (330) 746-2944
- **Mailing address:** 1216 5TH AVE, YOUNGSTOWN, OH 44504-1605
- **Mailing address phone:** (330) 746-2944

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 10/27/2020
- **Last updated:** 10/27/2020