Vintage Place Of Russell, Inc.

NPI 1134243660 - Assisted Living Facility - 310400000X

NPI Details
NPI 1134243660
Enumeration Date 03/19/2007
Last Updated 07/09/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name BARBARA BARBARA
Position ADMINISTRATOR
Phone (785) 483-5882
Fax (785) 483-2797
Practice Location
1070 E WICHITA AVE
RUSSELL KS, 67665-2452, US
Phone (785) 483-5882
Fax (785) 483-2797
Business Location
1070 E WICHITA AVE
RUSSELL KS, 67665-2452, US
Phone (785) 483-5882
Fax (785) 483-2797
Toxanomy
Taxonomy Code 310400000X
License State Kansas
License Number N-084-007
Remove 1134243660 NPI Number
 

According to our database, Vintage Place Of Russell, Inc. NPI is 1134243660, taxonomy code is 310400000X and license number is N-084-007, license state is located at Kansas. Vintage Place Of Russell, Inc. physically located at 1070 E Wichita Ave, Russell KS, 67665-2452. NPI Number 1033115704 has the healthcare provider type.

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1134243660 NPI number is provided on an as is basis without warranty of any kind. 1134243660 is maintained by the National Plan & Provider Enumeration System. The contents of Vintage Place Of Russell, Inc. are for informational purposes only.