# VISTA NURSING HOME INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** VISTA NURSING HOME
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285634543
- **Authorized official:** MELANIE LEWIS (ADMINISTRATOR)
- **Authorized official phone:** (918) 653-2472

## Contact information

- **Practice address:** 114 W 2ND ST, HEAVENER, OK 74937-2002
- **Practice address phone:** (918) 653-2472
- **Practice address fax:** (918) 653-2968
- **Mailing address:** 114 W 2ND ST, HEAVENER, OK 74937-2002
- **Mailing address phone:** (918) 653-2472
- **Mailing address fax:** (918) 653-2968

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | NH4007-4007 | OK | Yes |

## Other

- **Enumeration date:** 07/28/2005
- **Last updated:** 12/11/2007