NPI 1063723872
Vista Assisted Living
Practice location
- Address
- 820 Elm Dr, St Maries, ID 83861-2119
- Phone
- (208) 245-4576
- Fax
- (208) 245-2138
- Mailing address
- 243 N 300 E, Rupert, ID 83350-9491
Authorised official
- Name
- Kasey Wilks
- Title
- Director of Corporate Compliance
- Phone
- (208) 245-4576
Registered specialties
Assisted Living Facility
Primary
Registry record
- NPI
- 1063723872
- Entity type
- Organization
- NPI issued
- 25 Jun 2010
- Record last updated
- 9 Apr 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.