| NPI | 1417672908 |
|---|---|
| Doing Business As | VISTA LAKE ASSISTED LIVING |
| Entity Type | Organization |
| Authorized Contact | SHLOMO GREENSTEIN Managing Director 727-697-9920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2022-10-06 |
| Last Update Date | 2022-10-06 |