Organization
VINTAGE PARK AT GARDNER 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
869 JUNIPER TERRACE, GARDNER, KS 66030
(913) 884-8900
(913) 884-4582
Mailing address
869 JUNIPER TERRACE, GARDNER, KS 66030
(913) 884-8900
(913) 884-4582
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
N046055
KS
Other
Enumeration date
04/20/2006
Last updated
08/22/2020
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