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Organization
MOUNTAIN VISTA HEALTH PARK, INC.
Active
Organization
MOUNTAIN VISTA HEALTH PARK, INC.
Active
Other names
MOUNTAIN VISTA HEALTH PARK
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHY B MCDONALD (ADMINISTRATOR)
(336) 859-2181
Entity
Organization
Contact information
Practice address
106 MT VISTA RD, DENTON, NC 27239-8793
(336) 859-2181
(336) 859-4053
Mailing address
PO BOX 1547, DENTON, NC 27239-1547
(336) 859-2181
(336) 859-4053
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3405196
—
NC
05
—
3406191
—
NC
Enumeration date
08/05/2006
Last updated
02/24/2012
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