Organization
MOUNTAIN VISTA HEALTH PARK, INC.
Active
Other names
MOUNTAIN VISTA HEALTH PARK
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHY B MCDONALD (ADMINISTRATOR)
(336) 859-2181
Entity
Organization
Contact information
Practice address
106 MT VISTA RD, DENTON, NC 27239-8793
(336) 859-2181
(336) 859-4053
Mailing address
PO BOX 1547, DENTON, NC 27239-1547
(336) 859-2181
(336) 859-4053
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3405196
—
NC
05
—
3406191
—
NC
Enumeration date
08/05/2006
Last updated
02/24/2012
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