# VINTAGE PARK AT LOUISBURG LLC

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

## Provider details

- **NPI number:** 1588629448
- **Authorized official:** MATT MOORE (SR VICE PRESIDENT OF OPERATIONS)
- **Authorized official phone:** (913) 239-0660

## Contact information

- **Practice address:** 202 S ROGERS RD, LOUISBURG, KS 66053-4064
- **Practice address phone:** (913) 837-5133
- **Practice address fax:** (913) 837-5169
- **Mailing address:** 202 S ROGERS RD, LOUISBURG, KS 66053-4064
- **Mailing address phone:** (913) 837-5133
- **Mailing address fax:** (913) 837-5169

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | N061008 | KS | Yes |

## Other

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