| NPI | 1447615083 |
|---|---|
| Doing Business As | VINTAGE PARK AT FREDONIA |
| Entity Type | Organization |
| Authorized Contact | JAY FLATT CFO 312-273-4750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2015-12-28 |
| Last Update Date | 2015-12-28 |