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Organization

VIDELL HEALTHCARE PARK PLACE, LLC

Active
Other names
Park Place Rehabilitation and Skilled Care Center
Organization subpart
No

Provider details

NPI number
Authorized official
STEPHEN J LAFORTE (MANAGER)
(253) 277-3197
Entity
Organization

Contact information

Practice address
113 CENTRAL AVE, HYDE PARK, MA 02136-3021
(617) 361-2388
(617) 364-3112
Mailing address
16400 SOUTHCENTER PKWY, SUITE 208, TUKWILA, WA 98188-3335
(253) 277-3197
(206) 299-3003

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary

Other

Enumeration date
10/19/2012
Last updated
04/16/2013
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