Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Nursing Facility Supplies |
332BN1400X | 87 | All Other Suppliers | |
Parenteral & Enteral Nutrition |
332BP3500X | 87 | All Other Suppliers |
| NPI # | 1801996129 |
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| LBN Legal business name | PARKVIEW CARE CENTER - ALBERT LEA MEDICAL CENTER | ||||||||||||
| Authorized official | STEPHEN WALDHOFF - (CAO) | ||||||||||||
| Entity | Organization | ||||||||||||
| Organization subpart 1 | Yes | ||||||||||||
| Enumeration date | 09/25/2006 | ||||||||||||
| Last updated | 03/18/2009 - About 17 years ago | ||||||||||||
| Identifiers |
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