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Organization

VINTAGE PARK AT WATERFRONT, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MATT MOORE (PRESIDENT)
(949) 282-5800
Entity
Organization

Contact information

Practice address
900 N BAYSHORE DR, WICHITA, KS 67212-4807
(316) 945-3344
Mailing address
900 N BAYSHORE DR, WICHITA, KS 67212-4807
(316) 945-3344

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
KS

Other

Enumeration date
03/11/2008
Last updated
03/11/2008
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