NPI 1275767410

Valley Vista Care Home

Organisation Preferred Provider Organization Phoenix, AZ

Practice location

Address: 2206 W Spur Dr, Phoenix, AZ 85085-5752
Phone: (623) 434-5567

Authorised official

Name: Fibia O Coman
Title: Owner/Manager
Phone: (623) 434-5567

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence ALH6406 (AZ)

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Registry record

NPI: 1275767410
Entity type: Organization
NPI issued: 2 May 2009
Record last updated: 2 May 2009

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.