# PROFESSIONAL PARK LEASING CO., LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Summersville Healthcare Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679295414
- **Authorized official:** CHARLES STOLTZ (TREASURER)
- **Authorized official phone:** (513) 530-1808

## Contact information

- **Practice address:** 712 PROFESSIONAL PARK DR, SUMMERSVILLE, WV 26651-2000
- **Practice address phone:** (304) 926-2756
- **Mailing address:** 10123 ALLIANCE RD, BLUE ASH, OH 45242-4887
- **Mailing address phone:** (513) 530-1808

## Taxonomy

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

## Other

- **Enumeration date:** 09/19/2022
- **Last updated:** 05/01/2025