| NPI | 1033165436 |
|---|---|
| Doing Business As | VISTA MANOR |
| Entity Type | Organization |
| Authorized Contact | DEBRA A. WALLACE Manager 321-269-2200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: FL SNF1580096) |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2013-03-22 |