Organization
PARKSIDE OPCO LLC
Active
Other names
Advanced Healthcare of the Valley
Organization subpart
No
Provider details
NPI number
Authorized official
LEVI LAZAR (AUTHORIZED REPRESENTATIVE)
(917) 754-7700
Entity
Organization
Contact information
Practice address
308 W EMMA ST, UNION GAP, WA 98903-1940
(509) 248-1985
Mailing address
308 W EMMA ST, UNION GAP, WA 98903-1940
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
08/05/2024
Last updated
08/05/2024
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