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Organization
VISTA ASSISTED LIVING LLC
Active
Organization
VISTA ASSISTED LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MEDJERDA PIERRE (ADMINISTRATOR)
(845) 200-4147
Entity
Organization
Contact information
Practice address
429 FREEMAN RD NW, PALM BAY, FL 32907-1866
(845) 200-4147
Mailing address
429 FREEMAN RD NW, PALM BAY, FL 32907-1866
(845) 200-4147
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
08/06/2025
Last updated
08/06/2025
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