Organization
WITP, LLC
Active
Other names
Park Avenue Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL HILL (MANAGER)
(917) 599-1759
Entity
Organization
Contact information
Practice address
146 PARK AVE, ARLINGTON, MA 02476-5829
(781) 648-9530
Mailing address
285 LIBERTY ST NE STE 390, SALEM, OR 97301-3576
(917) 599-1759
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
03/04/2019
Last updated
03/04/2019
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