Vintage Park at Ottawa LLC

NPI #1619185188 in Ottawa, Kansas

Provider Information

NPI Number
1619185188
Entity Type
Organization
Organization Name
Vintage Park at Ottawa LLC
Primary Specialty
Assisted Living Facility
Enumeration Date
May 18, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
2250 S ELM ST
City
Ottawa
State
Kansas
ZIP Code
66067
Phone
(785) 242-3715

Authorized Official

Name
MR. MATT MOORE
Title
SENIOR VICE PRESIDENT
Phone
(913) 239-0660

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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