Mira Vista Corporation
NPI #1437214970 in Mount Vernon, Washington
Provider Information
- NPI Number
- 1437214970
- Entity Type
- Organization
- Organization Name
- Mira Vista Corporation
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Dec 26, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 300 S 18TH ST
- City
- Mount Vernon
- State
- Washington
- ZIP Code
- 98274-4661
- Phone
- (360) 424-1320
Authorized Official
- Name
- MR. JAMES SCOTT HALE
- Title
- ADMINISTRATOR
- Phone
- (360) 424-1320
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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