Organization
LOOKOUT POST ACUTE, LLC
Active
Other names
Mira Vista Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRAIN JAMES NEWBERRY (MANAGER)
(801) 899-5364
Entity
Organization
Contact information
Practice address
300 S 18TH ST, MOUNT VERNON, WA 98274-4661
(360) 424-1320
(360) 848-1948
Mailing address
300 S 18TH ST, MOUNT VERNON, WA 98274-4661
(360) 424-1320
(360) 848-1948
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
957
WA
Other
Enumeration date
02/24/2015
Last updated
02/24/2015
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