Organization
VINTAGE PARK AT LOUISBURG LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATT MOORE (SR VICE PRESIDENT OF OPERATIONS)
(913) 239-0660
Entity
Organization
Contact information
Practice address
202 S ROGERS RD, LOUISBURG, KS 66053-4064
(913) 837-5133
(913) 837-5169
Mailing address
202 S ROGERS RD, LOUISBURG, KS 66053-4064
(913) 837-5133
(913) 837-5169
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
N061008
KS
Other
Enumeration date
04/20/2006
Last updated
08/22/2020
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