Organization · Type 2 NPI
Avista Senior Living Vita Bella, LLC
Health Service Clinic/Center · Mesa, AZ
NPI number
1902185994
Active
Practice location
248 N Macdonald
Mesa, AZ 85201-6651
Mailing address
1725 S Country Club Dr
Mesa, AZ 85210-6003
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health Service Clinic/Center Primary | 261QH0100X | None listed |
Health Service Clinic/Center: Definition to come...
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About NPI 1902185994
Avista Senior Living Vita Bella, LLC's National Provider Identifier is 1902185994, issued on Aug 9, 2011. The primary taxonomy on file is Health Service Clinic/Center (261QH0100X), and the practice location is in Mesa, AZ. The record was last updated on Aug 9, 2011.