Vista Grande Villa

NPI #1477537397 in Jackson, Michigan

Provider Information

NPI Number
1477537397
Entity Type
Organization
Organization Name
Vista Grande Villa
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Dec 5, 2005
Last Updated
Nov 29, 2011

Practice Location

Address
2251 SPRINGPORT RD
ZIP Code
49202-1496
Phone
(517) 787-0222

Authorized Official

Name
MS. ELLEN A. KEATLEY
Title
PRESIDENT
Phone
(517) 787-0222

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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