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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:

PrimaryCodeCategory/DescriptionStateLicense Number
Y311ZA0620XNursing & Custodial Care Facilities
Custodial Care Facility
Adult Care Home
VT0109

Other Provider Identifiers:

IssuerNumberStateType
ACCS PROVIDER#047W101VT01
ERC PROVIDER #047W047VT01
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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