Organization
PARK PLACE LLC
Active
Other names
Park Place
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAURA MCDONNELL (CORPORATE BUSINESS OFFICE MANAGER)
(978) 420-1500
Entity
Organization
Contact information
Practice address
113 CENTRAL AVE, HYDE PARK, MA 02136-3021
(617) 361-2388
(617) 364-3112
Mailing address
113 CENTRAL AVE, HYDE PARK, MA 02136-3021
(617) 361-2388
(617) 364-3112
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0500
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0925896
—
MA
Enumeration date
10/04/2005
Last updated
02/12/2010
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