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VILLA VISTA, INC.

Nursing & Custodial Care Facilities Nursing Facility/Intermediate Care Facility

Provider NPI: 1760469878

Organization Information:
Organization Name:  VILLA VISTA, INC.
Authorized Official:  JULIE R PETERSON  ADMINISTRATOR  218-644-3331

Practice Location:
1197 VILLA VISTA CIRCLE  CROMWELL, MN 55726-0098 US
Tel: 218-644-3331  Fax: 218-644-3505

Business Mailing Address:
1197 VILLA VISTA CIRCLE  CROMWELL, MN 55726-0098 US
Tel: 218-644-3331  Fax: 218-644-3505

NPI Information:
NPI: 1760469878
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y313M00000XNursing & Custodial Care Facilities
Nursing Facility/Intermediate Care Facility
MN330912

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 313M00000X

Type:

Classification:



Definition:



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