| NPI | 1003699844 |
|---|---|
| Doing Business As | VINTAGE WEST ASSISTED CARE |
| Entity Type | Organization |
| Authorized Contact | ELAINE D HICKMAN Manager/ Administrator 480-910-1684 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2023-08-16 |
| Last Update Date | 2023-09-27 |