| Organization Name: | PARKE FAMILY SENIOR CARE INC. |
| NPI Number: | 1003155797 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DAVID PARKE (OWNER) |
| Mailing Address: | 8539 S Redwood Rd Suite B West Jordan |
| State: | UT US |
| Postal Code: | 840885250 |
| Phone Number: | 8015420405 |
| Fax Number: | |
| NPI Enumeration Date: | 01/31/2013 |
| NPI Last Update Date: | 01/31/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 253Z00000X |
| License Number: | 2012-HHA-98614 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | UT |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | In Home Supportive Care |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |