Vintage Home & Residential Care INC
NPI #1356730899 in Bonita, California
Provider Information
- NPI Number
- 1356730899
- Entity Type
- Organization
- Organization Name
- Vintage Home & Residential Care INC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Jan 21, 2015
- Last Updated
- Jan 21, 2015
Practice Location
- Address
- 316 CRESTVIEW DR
- City
- Bonita
- State
- California
- ZIP Code
- 91902-4286
- Phone
- (619) 417-7316
Authorized Official
- Name
- MS. CYNTHIA JOANNE GRAPE
- Title
- PRESIDENT
- Phone
- (619) 417-7316
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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