Organization
PARKWAY MANOR LLC
Active
Other names
PARKWAY HILLS NURSING & REHAB
Organization subpart
No
Provider details
NPI number
Authorized official
AARON CHESLEY (ADMINISTRATOR)
(619) 469-0124
Entity
Organization
Contact information
Practice address
7760 PARKWAY DR, LA MESA, CA 91942-2028
(619) 469-0124
(619) 469-6401
Mailing address
7760 PARKWAY DR, LA MESA, CA 91942-2028
(619) 469-0124
(619) 469-6401
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
080000053
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZT05078I
—
CA
Enumeration date
11/22/2006
Last updated
02/19/2009
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