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VERGENNES RESIDENTIAL CARE, INC.

Custodial Care Facility

Vergennes, Vermont

Provider NPI: 1508936733

Organization Information:
Organization Name:  VERGENNES RESIDENTIAL CARE, INC.


Practice Location:
34 NORTH ST  VERGENNES, VT 05491 US
Tel: 802-877-3562  Fax: --

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


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y311Z00000XNursing & Custodial Care Facilities
Custodial Care Facility
VT0311

Other Provider Identifiers:

IssuerNumberStateType
047W234VT05
047W345VT05
047R038VT05
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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