Organization
PARK CREEK CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AVI LUSTIG (MANAGER)
(917) 544-4713
Entity
Organization
Contact information
Practice address
10064 N CHURCH DR, PARMA HEIGHTS, OH 44130-4066
(917) 544-4713
Mailing address
10064 N CHURCH DR, PARMA HEIGHTS, OH 44130-4066
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
12/08/2025
Last updated
12/08/2025
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