| NPI | 1194866277 |
|---|---|
| Other Name | VISTA SOUTH ASSISTED LIVING |
| Entity Type | Organization |
| Authorized Contact | KENNETH RAY THOMAS Owner 602-435-3808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: AZ ALH5881) |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2023-09-06 |