Organization
VISTA CARE HOME INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS ELIZA MARTIROSYAN (PRESIDENT)
(626) 926-4303
Entity
Organization
Contact information
Practice address
10949 BURNET AVE, MISSION HILLS, CA 91345-1505
(818) 361-4999
(818) 361-1666
Mailing address
10949 BURNET AVE, MISSION HILLS, CA 91345-1505
(818) 361-4999
(818) 361-1666
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
550002566
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
550002566
—
CA
Enumeration date
02/21/2014
Last updated
02/21/2014
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