WINDOVER HOUSE INC
Adult Care Home
Randolph, Vermont
Provider NPI: 1154446367
Organization Information:Organization Name: WINDOVER HOUSE INC
Practice Location:
451 VT ROUTE 66 RANDOLPH, VT 05060 US
Tel: 802-728-3802 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:
451 VT ROUTE 66 RANDOLPH, VT 05060 US
Tel: 802-728-3802 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 | VT | 0109 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
ACCS PROVIDER# | 047W101 | VT | 01 |
ERC PROVIDER # | 047W047 | VT | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin