NPI 1134603509
Mountain View Residential Home - a Waters Community, LLC
Practice location
- Address
- 414 Massey Ave, Mountain View, AR 72560-6132
- Phone
- (870) 269-5845
Authorised official
- Name
- Michael Blisko
- Title
- Mbr
- Phone
- (708) 449-1900
Registered specialties
Assisted Living Facility
Primary
Registry record
- NPI
- 1134603509
- Entity type
- Organization
- NPI issued
- 20 Sep 2018
- Record last updated
- 20 Sep 2018
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.