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Organization
VISTA NURSING HOME INC
Active
Organization
VISTA NURSING HOME INC
Active
Other names
VISTA NURSING HOME
Organization subpart
No
Provider details
NPI number
Authorized official
MELANIE LEWIS (ADMINISTRATOR)
(918) 653-2472
Entity
Organization
Contact information
Practice address
114 W 2ND ST, HEAVENER, OK 74937-2002
(918) 653-2472
(918) 653-2968
Mailing address
114 W 2ND ST, HEAVENER, OK 74937-2002
(918) 653-2472
(918) 653-2968
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH4007-4007
OK
Other
Enumeration date
07/28/2005
Last updated
12/11/2007
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