| NPI | 1245662675 |
|---|---|
| Doing Business As | MIRA VISTA COURT |
| Entity Type | Organization |
| Authorized Contact | LEZLIE MICHAEL President 817-361-1400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2013-08-08 |
| Last Update Date | 2014-02-07 |