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MISTY HEATHER MORN COMMUNITY CARE HOME

Custodial Care Facility

Hydeville, Vermont

Provider NPI: 1629285697

Organization Information:
Organization Name:  MISTY HEATHER MORN COMMUNITY CARE HOME


Practice Location:
174 BLISSVILLE RD  HYDEVILLE, VT 05750 US
Tel: 802-265-3300  Fax: --

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


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y311Z00000XNursing & Custodial Care Facilities
Custodial Care Facility
VT0174

Other Provider Identifiers:

IssuerNumberStateType
047W187VT05
047W125VT05
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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