Vintage Park at Neodesha, LLC

NPI #1558519785 in Neodesha, Kansas

Provider Information

NPI Number
1558519785
Entity Type
Organization
Organization Name
Vintage Park at Neodesha, LLC
Primary Specialty
Assisted Living Facility
Enumeration Date
Aug 29, 2008
Last Updated
Aug 29, 2008

Practice Location

Address
400 FIR ST
State
Kansas
ZIP Code
66757-1298
Phone
(620) 325-2244

Authorized Official

Name
MR. MATT MOORE
Title
PRESIDENT
Phone
(949) 282-5800

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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