Park Lido, INC.
Assisted Living Facility in Vancouver, WA. Organization (NPI-2).
NPI number1447584594
StatusActive
Last updated in NPPESSep 22, 2009
Details
- NPI
- 1447584594
- Entity type
- Organization (NPI-2)
- Legal business name
- Park Lido, INC.
- Organization subpart
- No
- Enumeration date
- Sep 22, 2009
- Last updated
- Sep 22, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 310400000X | Assisted Living Facility | 2038 | WA | Yes |
Practice location
8422 Ne 8th WayVancouver, WA 98664-1974
Phone 360-256-2980 · Fax 360-256-1909
Mailing address
8422 Ne 8th WayVancouver, WA 98664-1974
Phone 360-256-2980 · Fax 360-256-1909
Authorized official
Randall L. Scheel
President
3602562980
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