Provider Demographics
NPI:1023342789
Name:VILLA VISTA ROYALE, LLC
Entity type:Organization
Organization Name:VILLA VISTA ROYALE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:GUIRINO
Authorized Official - Middle Name:C
Authorized Official - Last Name:LANCIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-264-7301
Mailing Address - Street 1:1800 SINCLAIR AVE
Mailing Address - Street 2:
Mailing Address - City:STEUBENVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43953-3328
Mailing Address - Country:US
Mailing Address - Phone:740-264-7301
Mailing Address - Fax:740-266-3164
Practice Address - Street 1:1800 SINCLAIR AVE
Practice Address - Street 2:
Practice Address - City:STEUBENVILLE
Practice Address - State:OH
Practice Address - Zip Code:43953-3328
Practice Address - Country:US
Practice Address - Phone:740-264-7301
Practice Address - Fax:740-266-3164
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-29
Last Update Date:2012-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility