Organization
VINTAGE PLACE OF RUSSELL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA ROCKERS (ADMINISTRATOR)
(785) 483-5882
Entity
Organization
Contact information
Practice address
1070 E WICHITA AVE, RUSSELL, KS 67665-2452
(785) 483-5882
(785) 483-2797
Mailing address
1070 E WICHITA AVE, RUSSELL, KS 67665-2452
(785) 483-5882
(785) 483-2797
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
N-084-007
KS
Other
Enumeration date
03/19/2007
Last updated
08/22/2020
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