Organization
VINTAGE COURT HEALTHCARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SOON BURNAM (SECRETARY)
(949) 540-1249
Entity
Organization
Contact information
Practice address
3620-B DALE RD, MODESTO, CA 95356-0598
(209) 521-2094
Mailing address
3620 DALE RD, MODESTO, CA 95356-0598
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
10/25/2024
Last updated
02/13/2025
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