Organization
PEREGRINE HEALTH SERVICES OF EDGERTON,LLC
Active
Other names
Park View Nursing Center
Organization subpart
No
Provider details
NPI number
Authorized official
OSCAR G ALEMAN (CONTROLLER)
(614) 459-2482
Entity
Organization
Contact information
Practice address
328 W VINE ST, EDGERTON, OH 43517-9600
(419) 298-2321
(419) 298-2476
Mailing address
328 W VINE ST, EDGERTON, OH 43517-9600
(419) 298-2321
(419) 298-2476
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1410
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2902407
—
OH
Enumeration date
10/24/2008
Last updated
11/18/2008
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