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Organization
VINTAGE VILLAGE INC
Active
Organization
VINTAGE VILLAGE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANAY LEON (PRESIDENT)
(813) 610-4200
Entity
Organization
Contact information
Practice address
701 E VIRGINIA AVE, TAMPA, FL 33603-5028
(813) 276-9828
(813) 276-9828
Mailing address
701 E VIRGINIA AVE, TAMPA, FL 33603-5028
(813) 276-9828
(813) 276-9828
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL11572
FL
Other
Enumeration date
07/02/2010
Last updated
07/02/2010
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