| NPI | 1922256155 |
|---|---|
| Other Name | VINTAGE PARK AT FREDONIA |
| Entity Type | Organization |
| Authorized Contact | MATT MOORE President 949-282-5800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: KS Being Applied For) |
| Enumeration Date | 2008-08-29 |
| Last Update Date | 2008-08-29 |