Organization
LITTLE MOUNTAIN HEALTHCARE, INC.
Active
Other names
Mira Vista Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
SOON BURNAM (TREASURER)
(949) 540-1249
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
—
—
Other
Enumeration date
03/23/2021
Last updated
02/17/2022
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