Organization
PARK LIDO, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RANDALL L. SCHEEL (PRESIDENT)
(360) 256-2980
Entity
Organization
Contact information
Practice address
8422 NE 8TH WAY, VANCOUVER, WA 98664-1974
(360) 256-2980
(360) 256-1909
Mailing address
8422 NE 8TH WAY, VANCOUVER, WA 98664-1974
(360) 256-2980
(360) 256-1909
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
2038
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
412973
—
WA
Enumeration date
09/22/2009
Last updated
09/22/2009
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