Organization
DC HEALTHCARE ENTERPRISES, LLC
Active
Other names
Park Health Care
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT SPEELMAN (PRESIDENT)
(330) 204-1040
Entity
Organization
Contact information
Practice address
100 PINE AVE, SAINT CLAIRSVILLE, OH 43950-9738
(740) 695-4925
(740) 695-4915
Mailing address
782 W ORANGE RD, DELAWARE, OH 43015-8922
(330) 204-1040
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2538N
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2956127
—
OH
Enumeration date
07/29/2009
Last updated
01/08/2016
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