# BUENA VISTA INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487651121
- **Authorized official:** LORRI CARTER (ADMINISTRATOR)
- **Authorized official phone:** (509) 684-4539

## Contact information

- **Practice address:** 151 BUENA VISTA DR, COLVILLE, WA 99114-8676
- **Practice address phone:** (509) 684-4539
- **Practice address fax:** (509) 685-0582
- **Mailing address:** 151 BUENA VISTA DR, COLVILLE, WA 99114-8676
- **Mailing address phone:** (509) 684-4539
- **Mailing address fax:** (509) 684-6013

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | BH 1023 | WA | — |
| 314000000X | Skilled Nursing Facility | NH 1244 | WA | Yes |

## Other

- **Enumeration date:** 07/07/2005
- **Last updated:** 03/11/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 127682 | SSPS\# | WA |
| 05 | — | 4112447 | — | WA |