Organization
VINTAGE PARK AT LENEXA 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
8710 CAENEN LAKE ROAD, LENEXA, KS 66216
(913) 894-6979
(913) 894-0901
Mailing address
8710 CAENEN LAKE RD, LENEXA, KS 66215-2069
(913) 894-6979
(913) 894-0901
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
N046037
KS
Other
Enumeration date
04/20/2006
Last updated
08/22/2020
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