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Organization
COLONIAL VISTA SNF HEALTHCARE LLC
Active
Organization
COLONIAL VISTA SNF HEALTHCARE LLC
Active
Other names
Colonial Vista Post Acute
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN MITCHELL (SECRETARY)
(509) 663-1171
Entity
Organization
Contact information
Practice address
625 OKANOGAN AVE, WENATCHEE, WA 98801-6409
(509) 663-1171
Mailing address
262 N UNIVERSITY AVE, FARMINGTON, UT 84025-2975
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
NULL
Other
Enumeration date
05/18/2024
Last updated
05/18/2024
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