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 |