is a Adult Care Home in Derby Line, Vermont. practices all healthcare services and medical treatments related to Adult Care Home. The NPI Number for is 1518078666. The last update date is .
's current location address is 47 Herrick Road, Derby Line, Vermont. You can contact this provider via phone number 8028733152 and fax number 8028647297. The mailing address for is 47 Herrick Road, Derby Line, Vermont. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 47 Herrick Road, Derby Line, Vermont |
| Phone Number | 8028733152 |
| Fax Number | 8028647297 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1518078666 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 47 Herrick Road |
|---|---|
| City | Derby Line |
| State | Vermont (VT) |
| Post Code | 58308759 |
| Phone Number | 8028733152 |
| Fax Number | 8028647297 |
Provider's Primary Taxonomy Detail
| Speciality | Adult Care Home |
|---|---|
| Taxonomy | 311Za0620X |
| Licence No | 143 |
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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 en |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 047W058 | VT | -- | |
| 047W096 | VT | -- |
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