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Organization
VINTAGE PARK AT OTTAWA LLC
Active
Organization
VINTAGE PARK AT OTTAWA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATT MOORE (SENIOR VICE PRESIDENT)
(913) 239-0660
Entity
Organization
Contact information
Practice address
2250 S ELM ST, OTTAWA, KS 66067
(785) 242-3715
(785) 242-0188
Mailing address
2250 S ELM ST, OTTAWA, KS 66067
(785) 242-3715
(785) 242-0188
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
N030008
KS
Other
Enumeration date
05/18/2007
Last updated
08/22/2020
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