Organization
SUNSET VISTA, INC
Active
Other names
Sunset Vista Adult Residential Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALTON RAY SIRCY LPCC (VICE PRESIDENT)
(505) 538-9095
Entity
Organization
Contact information
Practice address
3650 N FOWLER AVE, SILVER CITY, NM 88061-7202
(575) 538-9095
(575) 538-0035
Mailing address
3650 N FOWLER AVE, SILVER CITY, NM 88061-7202
(575) 538-9095
(575) 538-0035
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
5563
NM
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000D3756
—
NM
Enumeration date
03/13/2007
Last updated
07/20/2017
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