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HOLTON HOME, INC.

Custodial Care Facility

Brattleboro, Vermont

Provider NPI: 1457497372

Organization Information:
Organization Name:  HOLTON HOME, INC.


Practice Location:
158 WESTERN AVE  BRATTLEBORO, VT 05301 US
Tel: 802-254-4155  Fax: --

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


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y311Z00000XNursing & Custodial Care Facilities
Custodial Care Facility
VT48

Other Provider Identifiers:

IssuerNumberStateType
047W123VT05
047R020VT05
047W043VT05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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