VT
VINTAGE TIME LLC
Custodial Care Facility
OIG CLEARNPI VERIFIED
Location
SIERRA VISTA, AZ
Licensed since
2013
Rate
—
Federal identifiers
NPI registry number1396185856
Agency details
Medicare activity
StatusNo Medicare utilization on file — neutral.
Authorized official
NamePRISCILLA CULP
TitleOWNER/MANAGER
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