Vista Assisted Living

NPI #1063723872 in St Maries, Idaho

Provider Information

NPI Number
1063723872
Entity Type
Organization
Organization Name
Vista Assisted Living
Subpart
Yes (part of a larger organization)
Parent Organization
VALLEY VISTA CARE CORPORATION
Primary Specialty
Assisted Living Facility
Enumeration Date
Jun 25, 2010
Last Updated
Apr 9, 2025

Practice Location

Address
820 ELM DR
State
Idaho
ZIP Code
83861-2119
Phone
(208) 245-4576

Authorized Official

Name
KASEY WILKS
Title
DIRECTOR OF CORPORATE COMPLIANCE
Phone
(208) 245-4576

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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