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 |