NPI 1518222074

Vista Park Memory Care Center, LLC

Organisation Alzheimer Center (Dementia Center) Petersburg, VA

Practice location

Address: 550 Flank Rd, Petersburg, VA 23805-9114
Phone: (804) 662-9774
Mailing address: 26691 Richmond Rd, Bedford Heights, OH 44146-1421

Authorised official

Name: William I. Weisberg
Title: Vice President
Phone: (216) 292-5706

Registered specialties

Alzheimer Center (Dementia Center) Primary

Nursing & Custodial Care Facilities Taxonomy 311500000X Licence ALF 1104310 (VA)

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Registry record

NPI: 1518222074
Entity type: Organization
NPI issued: 11 Jul 2012
Record last updated: 7 Oct 2015

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.