Organization
PARK VISTA SNF OPS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHLOMO MUSHELL (CEO)
(917) 251-5131
Entity
Organization
Contact information
Practice address
1216 5TH AVE, YOUNGSTOWN, OH 44504-1605
(330) 746-2944
(330) 742-3625
Mailing address
1216 5TH AVE, YOUNGSTOWN, OH 44504-1605
(330) 746-2944
(330) 742-3625
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0388892
—
OH
Enumeration date
01/23/2020
Last updated
06/05/2021
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