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LAKEWOOD ADULT FAMILY HOME INC

Adult Care Home

Bomoseen, Vermont

Provider NPI: 1194920488

Organization Information:
Organization Name:  LAKEWOOD ADULT FAMILY HOME INC


Practice Location:
69 RAINBOWS END  BOMOSEEN, VT 05732 US
Tel: 802-468-3010  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y311ZA0620XNursing & Custodial Care Facilities
Custodial Care Facility
Adult Care Home
VT544

Other Provider Identifiers:

IssuerNumberStateType
047W278VT05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




ADULT CARE JOBS VT - Page 1



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