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VERMONT CATHOLIC CHARITIES, INC.

Adult Care Home

Derby Line, Vermont

Provider NPI: 1518078666

Organization Information:
Organization Name:  VERMONT CATHOLIC CHARITIES, INC.


Practice Location:
47 HERRICK ROAD  DERBY LINE, VT 05830 US
Tel: 802-873-3152  Fax: --

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


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y311ZA0620XNursing & Custodial Care Facilities
Custodial Care Facility
Adult Care Home
VT0143

Other Provider Identifiers:

IssuerNumberStateType
047W058VT05
047W096VT05
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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