Organization
VINTAGE PARK AT PAOLA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATT MOORE (SR VICE PRESIDENT OF OPERATION)
(913) 239-0660
Entity
Organization
Contact information
Practice address
601 N EAST ST, PAOLA, KS 66071-1183
(913) 557-0202
(913) 294-5187
Mailing address
601 N EAST ST, PAOLA, KS 66071-1183
(913) 557-0202
(913) 294-5187
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
N069009
KS
Other
Enumeration date
07/26/2006
Last updated
08/22/2020
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