Organization
VINTAGE HOME & RESIDENTIAL CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CYNTHIA JOANNE GRAPE (PRESIDENT)
(619) 417-7316
Entity
Organization
Contact information
Practice address
316 CRESTVIEW DR, BONITA, CA 91902-4286
(619) 417-7316
Mailing address
316 CRESTVIEW DR, BONITA, CA 91902-4286
(619) 417-7316
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
374603126
CA
Other
Enumeration date
01/21/2015
Last updated
01/21/2015
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