# VINTAGE PARK AT BALDWIN LLC

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

## Provider details

- **NPI number:** 1700842648
- **Authorized official:** MR. EDDIE PARADES (SR VICE PRESIDENT OF OPERATIONS)
- **Authorized official phone:** (210) 493-3165

## Contact information

- **Practice address:** 321 CRIMSON AVE, BALDWIN CITY, KS 66006-4157
- **Practice address phone:** (785) 594-4255
- **Practice address fax:** (785) 594-2280
- **Mailing address:** 321 CRIMSON AVE, BALDWIN CITY, KS 66006-4157
- **Mailing address phone:** (785) 594-4255
- **Mailing address fax:** (785) 594-2280

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | N023018 | KS | Yes |

## Other

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