Organization
BREWSTER PARKE ASSISTED LIVING
Active
Parent organization
BREWSTER PARKE, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
BREWSTER PARKE, INC.
Authorized official
GINA TOMCZAK (CFO)
(330) 767-7435
Entity
Organization
Contact information
Practice address
360 WABASH AVE N, BREWSTER, OH 44613-1042
(330) 767-3451
Mailing address
360 WABASH AVE N, BREWSTER, OH 44613-1042
(330) 767-4179
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2784R
—
OH
Enumeration date
10/26/2023
Last updated
11/13/2024
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