Organization
VINTAGE PARK AT ATCHISON 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
1301 N 4TH ST, ATCHISON, KS 66002-1207
(913) 367-2655
(913) 367-0642
Mailing address
1301 N 4TH ST, ATCHISON, KS 66002-1207
(913) 367-2655
(913) 367-0642
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
N00300S
KS
Other
Enumeration date
06/20/2006
Last updated
08/22/2020
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