# VINTAGE FAMILY CARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134350192
- **Authorized official:** MR. KODY KRIEGER (PRESIDENT)
- **Authorized official phone:** (281) 813-8160

## Contact information

- **Practice address:** 1525 OUTERBRIDGE DR, ALLEN, TX 75002-0970
- **Practice address phone:** (281) 813-8160
- **Practice address fax:** (214) 461-0450
- **Mailing address:** 1525 OUTERBRIDGE DR, ALLEN, TX 75002-0970
- **Mailing address phone:** (281) 813-8160
- **Mailing address fax:** (214) 461-0450

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | TX | Yes |

## Other

- **Enumeration date:** 08/06/2009
- **Last updated:** 08/06/2009