# MOUNTAIN VISTA HEALTH PARK, INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** MOUNTAIN VISTA HEALTH PARK
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396754875
- **Authorized official:** MRS. KATHY B MCDONALD (ADMINISTRATOR)
- **Authorized official phone:** (336) 859-2181

## Contact information

- **Practice address:** 106 MT VISTA RD, DENTON, NC 27239-8793
- **Practice address phone:** (336) 859-2181
- **Practice address fax:** (336) 859-4053
- **Mailing address:** PO BOX 1547, DENTON, NC 27239-1547
- **Mailing address phone:** (336) 859-2181
- **Mailing address fax:** (336) 859-4053

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 08/05/2006
- **Last updated:** 02/24/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 3405196 | — | NC |
| 05 | — | 3406191 | — | NC |