Organization
PARKSIDE CONGREGATE LIVING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETER YUZON (PRESIDENT)
(661) 374-4079
Entity
Organization
Contact information
Practice address
304 HAGGIN ST, BAKERSFIELD, CA 93309-1972
(661) 374-4079
(661) 748-1247
Mailing address
304 HAGGIN ST, BAKERSFIELD, CA 93309-1972
(661) 374-4079
(661) 748-1247
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1900155889
CITY BUSINESS LICENSE
CA
Enumeration date
10/25/2018
Last updated
10/25/2018
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