| NPI | 1912659178 |
|---|---|
| Doing Business As | PEORIA VISTA CARE LLC |
| Entity Type | Organization |
| Authorized Contact | STEVAN POLUS Owner 602-481-8746 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2022-01-19 |
| Last Update Date | 2024-06-21 |