Mountain View Residential Home - a Waters Community, LLC
NPI #1134603509 in Mountain View, Arkansas
Provider Information
- NPI Number
- 1134603509
- Entity Type
- Organization
- Organization Name
- Mountain View Residential Home - a Waters Community, LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Sep 20, 2018
- Last Updated
- Sep 20, 2018
Practice Location
- Address
- 414 MASSEY AVE
- City
- Mountain View
- State
- Arkansas
- ZIP Code
- 72560-6132
- Phone
- (870) 269-5845
Authorized Official
- Name
- MICHAEL BLISKO
- Title
- MBR
- Phone
- (708) 449-1900
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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