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Organization
VINTAGE R CARE INC
Active
Organization
VINTAGE R CARE INC
Active
Other names
Vintage R Care INC, Vintage R Care INC
Organization subpart
No
Provider details
NPI number
Authorized official
KADIAN WILLIAMS (CEO)
(718) 419-2476
Entity
Organization
Contact information
Practice address
74 MASON ST, METUCHEN, NJ 08840-2947
(718) 419-2476
Mailing address
1445 WOODMONT LN NW # 1173, ATLANTA, GA 30318-2866
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
NULL
Other
Enumeration date
10/10/2022
Last updated
10/10/2022
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