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Organization

VISTA MANOR HEALTH CARE ASSOCIATES LLC

Active
Other names
Vista Manor
Organization subpart
No

Provider details

NPI number
Authorized official
DEBRA A. WALLACE (MANAGER)
(321) 269-2200
Entity
Organization

Contact information

Practice address
1550 JESS PARRISH CT, TITUSVILLE, FL 32796-2147
(321) 269-2200
(321) 383-4990
Mailing address
1550 JESS PARRISH CT, TITUSVILLE, FL 32796-2147
(321) 269-2200
(321) 383-4990

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
SNF1580096
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
025252200
FL
Enumeration date
05/26/2006
Last updated
03/22/2013
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