| NPI | 1982889127 |
|---|---|
| Doing Business As | VILLA VISTA CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | JULIE R PETERSON Administrator 218-644-3331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility |
| Enumeration Date | 2008-01-07 |
| Last Update Date | 2008-01-07 |