Organization
VISTA CONTINUING CARE CENTER INC
Active
Other names
VISTA CONTINUING CARE CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN COHEN (VICE PRESIDENT)
(903) 569-9023
Entity
Organization
Contact information
Practice address
4300 VISTA RD, PASADENA, TX 77504-2118
(713) 946-6787
(713) 946-1337
Mailing address
4300 VISTA RD, PASADENA, TX 77504-2118
(713) 946-6787
(713) 946-1337
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
111815
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000512001
—
TX
05
—
021984201
—
TX
Enumeration date
05/24/2005
Last updated
11/04/2010
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