Organization
VISTA NURSING HOME INC
Active
Other names
VISTA NURSING HOME
Organization subpart
No
Provider details
NPI number
Authorized official
MELANIE LEWIS (ADMINISTRATOR)
(918) 653-2472
Entity
Organization
Contact information
Practice address
114 W 2ND ST, HEAVENER, OK 74937-2002
(918) 653-2472
(918) 653-2968
Mailing address
114 W 2ND ST, HEAVENER, OK 74937-2002
(918) 653-2472
(918) 653-2968
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH4007-4007
OK
Other
Enumeration date
07/28/2005
Last updated
12/11/2007
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