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Organization
PARKSIDE OPCO LLC
Active
Organization
PARKSIDE OPCO LLC
Active
Other names
Advanced Healthcare of the Valley
Organization subpart
No
Provider details
NPI number
Authorized official
LEVI LAZAR (AUTHORIZED REPRESENTATIVE)
(917) 754-7700
Entity
Organization
Contact information
Practice address
308 W EMMA ST, UNION GAP, WA 98903-1940
(509) 248-1985
Mailing address
308 W EMMA ST, UNION GAP, WA 98903-1940
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
NULL
Other
Enumeration date
08/05/2024
Last updated
08/05/2024
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