| NPI | 1043745417 |
|---|---|
| Doing Business As | VISTA DEL LAGO MEMORY CARE |
| Entity Type | Organization |
| Authorized Contact | SCOTT KIRBY CEO 619-201-5888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311500000X Alzheimer Center (Dementia Center) (Licence: CA 374603664) |
| Enumeration Date | 2017-04-24 |
| Last Update Date | 2017-04-24 |