Organization
VISTA VERANDA VILLAGE CORPORATION
Active
Other names
Vista Veranda Assisted Living
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH P AUSTRIA (CHIEF OPERATING OFFICER)
(323) 333-0509
Entity
Organization
Contact information
Practice address
3540 MARTIN LUTHER KING JR BLVD, LYNWOOD, CA 90262
(310) 638-4113
(310) 885-5432
Mailing address
3540 MARTIN LUTHER KING JR BLVD, LYNWOOD, CA 90262
(310) 638-4113
(310) 885-5432
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
197608044
CA
310400000X
Assisted Living Facility
Primary
—
CA
Other
Enumeration date
04/23/2010
Last updated
10/21/2015
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