Mountain Vista Health Park, INC.
Skilled Nursing Facility in Denton, NC. Organization (NPI-2).
NPI number1396754875
StatusActive
Last updated in NPPESFeb 24, 2012
Details
- NPI
- 1396754875
- Entity type
- Organization (NPI-2)
- Legal business name
- Mountain Vista Health Park, INC.
- Organization subpart
- No
- Enumeration date
- Aug 5, 2006
- Last updated
- Feb 24, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | – | – | Yes |
Other names
- Mountain Vista Health Park (Doing Business As)
Practice location
106 Mt Vista RdDenton, NC 27239-8793
Phone 336-859-2181 · Fax 336-859-4053
Mailing address
Po Box 1547Denton, NC 27239-1547
Phone 336-859-2181 · Fax 336-859-4053
Authorized official
Kathy B McDonald
Administrator
3368592181
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