OrganizationActive
Avista Senior Living Vita Bella, LLC
NPI 1902185994 · Health Service Clinic/Center · Mesa, AZ
Provider details
- NPI number
- 1902185994
- Entity type
- Organization
- Primary specialty
- Health Service Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kristopher Woolley, Managing Member(602) 628-5900
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
248 N Macdonald
Mesa, AZ 85201-6651
Phone: (480) 964-6685
Approximate (ZIP-level) locationGet directions
Mailing address
1725 S Country Club Dr
Mesa, AZ 85210-6003
Registry dates
- Enumerated
- 2011-08-09
- Last updated
- 2011-08-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.