# FORTIERS COMMUNITY CARE HOME LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255494522
- **Authorized official:** MRS. MARIE IRENE FORTIER (OWNER)
- **Authorized official phone:** (802) 479-1867

## Contact information

- **Practice address:** 127 BAILEY ST, BARRE, VT 05641-5237
- **Practice address phone:** (802) 479-1867
- **Practice address fax:** (802) 479-2066
- **Mailing address:** 127 BAILEY ST, BARRE, VT 05641-5237
- **Mailing address phone:** (802) 479-1867
- **Mailing address fax:** (802) 479-2066

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | 0381 | VT | Yes |

## Other

- **Enumeration date:** 12/18/2006
- **Last updated:** 08/22/2020