Organization
PARK VILLAGE ASSISTED LIVING OPERATIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY H TUCKER (CHIEF FINANCIAL OFFICER)
(330) 447-3490
Entity
Organization
Contact information
Practice address
1525 N CRATER AVE, DOVER, OH 44622-9500
(330) 447-3490
Mailing address
1525 N CRATER AVE, DOVER, OH 44622-9500
(330) 447-3490
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
08/11/2022
Last updated
08/11/2022
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