| NPI | 1194973321 |
|---|---|
| Other Name | VINTAGE PARK AT HIAWATHA |
| Entity Type | Organization |
| Authorized Contact | MATT MOORE President 949-282-5800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2008-08-29 |
| Last Update Date | 2008-08-29 |