Organization
VISTA WOODS HEALTH ASSOCIATES LLC
Active
Other names
Vista Knoll Specialized Care Facility
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SOON BURNAM (AUTHORIZED AGENT)
(949) 540-1249
Entity
Organization
Contact information
Practice address
2000 WESTWOOD RD, VISTA, CA 92083-5123
(760) 630-2273
(760) 630-0913
Mailing address
2000 WESTWOOD RD, VISTA, CA 92083-5123
(760) 630-2273
(760) 630-0913
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
080000353
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC555425H
—
CA
Enumeration date
07/22/2005
Last updated
02/17/2021
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