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Vintage Time Llc
Adult Care Home Facility in Sierra Vista, Arizona
NPI 1396185856

Vintage Time Llc is an Adult Care Home Facility based in Sierra Vista, AZ and is specialized in Adult Care Home. Vintage Time Llc practices in Sierra Vista, AZ. The NPI Number for Vintage Time Llc is 1396185856 and holds a License No. AL7415H (Arizona).

The current practice location address for Vintage Time Llc is 1448 Hummingbird Ln, Sierra Vista, AZ and can be reached out via phone at 520-335-2001 and via fax at 520-335-2001.

Location: 1448 Hummingbird Ln, Sierra Vista, AZ, 85635-1116
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1396185856
Provider Name
Vintage Time Llc
Credential
Provider Entity Type
Organization
Address
1448 Hummingbird Ln, Sierra Vista, AZ, 85635-1116
Phone Number
520-335-2001
Fax Number
520-335-2001
Provider Enumeration Date
06/28/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
429252 05 AZ
institution
Provider Business Practice Location Address Details
Address
1448 Hummingbird Ln
City
Sierra Vista
State
Arizona
Zip
85635-5443
Phone Number
520-335-2001
Fax Number
520-335-2001
person
Provider Business Mailing Address Details
Address
1448 Hummingbird Ln
City
Sierra Vista
State
Arizona
Zip
85635-5443
Phone Number
520-335-2001
Fax Number
520-335-2001
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
AL7415H (Arizona)
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
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