| NPI | 1962568352 |
|---|---|
| Doing Business As | VISTA GRANDE INN |
| Entity Type | Organization |
| Authorized Contact | LUCIANA SINGER Management 970-516-1404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2020-09-18 |