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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

VISTA GRANDE VILLA

Active Organization

VISTA GRANDE VILLA is a Skilled Nursing Facility organization located in JACKSON, Michigan. NPI 1477537397 is currently active in the NPPES registry. Verify at CMS.

Skilled Nursing Facility · JACKSON, MI

Registration Details

NPI Number
1477537397
Provider Type
Organization
NPI Issued
Dec 5, 2005 (20.699410412059 yrs)
Last Updated
Nov 29, 2011
License
384210 (MI)

Practice Information

Address
2251 SPRINGPORT RD
JACKSON, MI, 492021496
Browse MI providers · Browse ZIP 49202
Phone
5177870222
Fax
5177876909
Primary Specialty
Skilled Nursing Facility
314000000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.