GRANITE CITY HOUSING, INC.
Adult Care Home
Barre, Vermont
Provider NPI: 1356578611
Organization Information:Organization Name: GRANITE CITY HOUSING, INC.
Practice Location:
120 HILL ST BARRE, VT 05641 US
Tel: 802-476-3283 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
120 HILL ST BARRE, VT 05641 US
Tel: 802-476-3283 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 311ZA0620X | Nursing & Custodial Care Facilities Custodial Care Facility Adult Care Home |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
047W282 | VT | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin