Organization
PARK VILLAGE HC NP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY H TUCKER CPA (CFO)
(330) 364-4436
Entity
Organization
Contact information
Practice address
1019 OLDTOWN VALLEY RD SE, NEW PHILADELPHIA, OH 44663-7856
(330) 364-4436
(330) 343-2509
Mailing address
1019 OLDTOWN VALLEY RD SE, NEW PHILADELPHIA, OH 44663-7856
(330) 364-4436
(330) 343-2509
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
OH
Other
Enumeration date
10/25/2016
Last updated
10/25/2016
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