Vintage Park at Tonganoxie, LLC
NPI #1578798385 in Tonganoxie, Kansas
Provider Information
- NPI Number
- 1578798385
- Entity Type
- Organization
- Organization Name
- Vintage Park at Tonganoxie, LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- May 22, 2009
- Last Updated
- May 22, 2009
Practice Location
- Address
- 120 W. 8TH STREET
- City
- Tonganoxie
- State
- Kansas
- ZIP Code
- 66086
- Phone
- (913) 845-2204
Authorized Official
- Name
- MR. MATT MOORE
- Title
- PRESIDENT
- Phone
- (949) 282-5800
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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