| NPI | 1962150037 |
|---|---|
| Doing Business As | VINTAGE FAIRE RESIDENTIAL |
| Entity Type | Organization |
| Authorized Contact | CAROL SPARKS Director Of Reimbursement 949-349-1200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2022-03-16 |
| Last Update Date | 2022-03-16 |