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Organization
VISTA PACIFICA ENTERPRISES INC.
Active
Organization
VISTA PACIFICA ENTERPRISES INC.
Active
Other names
VISTA PACIFICA CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALLAN ENGELAUF (ADMINISTRATOR)
(951) 682-4833
Entity
Organization
Contact information
Practice address
3674 PACIFIC AVE, RIVERSIDE, CA 92509-1948
(951) 682-4833
(951) 682-1503
Mailing address
3674 PACIFIC AVE, RIVERSIDE, CA 92509-1948
(951) 682-4833
(951) 682-1503
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
250000118
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZTO5821J
—
CA
Enumeration date
11/09/2006
Last updated
05/01/2018
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