| NPI | 1487641361 |
|---|---|
| Doing Business As | VINTAGE FAIRE NURSING AND REHABILITATION CENTER |
| Entity Type | Organization |
| Authorized Contact | SUSAN P MORGAN Administrator 209-521-2094 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CA 100000366) |
| Enumeration Date | 2005-10-05 |
| Last Update Date | 2020-08-22 |