Provider Demographics
NPI:1356155907
Name:PARK CENTER DAYCARE LLC
Entity type:Organization
Organization Name:PARK CENTER DAYCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CASSANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHESSMORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-843-2444
Mailing Address - Street 1:PO BOX 187
Mailing Address - Street 2:
Mailing Address - City:ELGIN
Mailing Address - State:NE
Mailing Address - Zip Code:68636-0187
Mailing Address - Country:US
Mailing Address - Phone:402-843-2444
Mailing Address - Fax:
Practice Address - Street 1:202 BOWEN ST
Practice Address - Street 2:
Practice Address - City:ELGIN
Practice Address - State:NE
Practice Address - Zip Code:68636-2622
Practice Address - Country:US
Practice Address - Phone:402-843-2444
Practice Address - Fax:402-843-2444
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-04
Last Update Date:2025-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care