# CLYDE DEVELOPMENT INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Park Villa
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629009337
- **Authorized official:** DAVID L SCOTT ACHA, LBSW (ADMINISTRATOR/SOCIAL WORKER)
- **Authorized official phone:** (785) 446-2518

## Contact information

- **Practice address:** 114 SOUTH HIGH, CLYDE, KS 66938-9472
- **Practice address phone:** (785) 446-2818
- **Practice address fax:** (785) 446-2288
- **Mailing address:** 114 SOUTH HIGH, CLYDE, KS 66938-9472
- **Mailing address phone:** (785) 446-2818
- **Mailing address fax:** (785) 446-2288

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 314000000X | KS | Yes |

## Other

- **Enumeration date:** 07/05/2006
- **Last updated:** 10/14/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100109300A | — | KS |