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LORETTO-KERVICK HOMES

Adult Care Home

Rutland, Vermont

Provider NPI: 1477664530

Organization Information:
Organization Name:  LORETTO-KERVICK HOMES


Practice Location:
59 MEADOW ST  RUTLAND, VT 05701 US
Tel: 802-773-8840  Fax: --

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


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y311ZA0620XNursing & Custodial Care Facilities
Custodial Care Facility
Adult Care Home
VT0138

Other Provider Identifiers:

IssuerNumberStateType
047W035VT05
047W114VT05
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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