# VINTAGE PARK AT STANLEY LLC

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

## Provider details

- **NPI number:** 1477518397
- **Authorized official:** MATT MOORE (SR VICE PRESIDENT OF OPERATIONS)
- **Authorized official phone:** (913) 239-0660

## Contact information

- **Practice address:** 14430 METCALF AVE, OVERLAND PARK, KS 66223-2989
- **Practice address phone:** (913) 897-1414
- **Practice address fax:** (913) 897-1441
- **Mailing address:** 14430 METCALF AVE, OVERLAND PARK, KS 66223-2989
- **Mailing address phone:** (913) 897-1414
- **Mailing address fax:** (913) 897-1441

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | N046069 | KS | Yes |

## Other

- **Enumeration date:** 04/20/2006
- **Last updated:** 08/22/2020