Organization
VINTAGE PARK AT OSAWATOMIE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDDIE PARADES (SR VICE PRESIDENT OF OPERATIONS)
(210) 493-3165
Entity
Organization
Contact information
Practice address
1520 PARKER AVE, OSAWATOMIE, KS 66064-1702
(913) 755-2167
(913) 755-4855
Mailing address
1520 PARKER AVE, OSAWATOMIE, KS 66064-1702
(913) 755-2167
(913) 755-4855
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
NO61009
KS
Other
Enumeration date
06/18/2006
Last updated
08/22/2020
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