| NPI | 1770972572 |
|---|---|
| Doing Business As | MIRA VISTA COURT |
| Entity Type | Organization |
| Authorized Contact | FREDERICK CERISE CEO 214-590-8006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2015-01-15 |
| Last Update Date | 2017-03-16 |