# MH MANOR SOUTH OPERATING, LLC

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

## Provider details

- **NPI number:** 1295360618
- **Authorized official:** MR. HENRY J VAUGHN (REIMBURSEMENT ANALYST)
- **Authorized official phone:** (240) 595-6025

## Contact information

- **Practice address:** 20 HARBOR VIEW RD, SOUTH BURLINGTON, VT 05403-7850
- **Practice address phone:** (802) 863-7897
- **Practice address fax:** (802) 863-9728
- **Mailing address:** 20 HARBOR VIEW RD, SOUTH BURLINGTON, VT 05403-7850
- **Mailing address phone:** (802) 863-7897

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 03/05/2020
- **Last updated:** 03/05/2020