| NPI | 1013739663 |
|---|---|
| Doing Business As | VINTAGE FAIRE RESIDENTIAL |
| Entity Type | Organization |
| Authorized Contact | SOON BURNAM Secretary 949-540-1249 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2024-10-25 |
| Last Update Date | 2025-01-30 |