# THE COON HOUSE

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

## Provider details

- **NPI number:** 1619049020
- **Authorized official:** SHIRLEY D. SEARS (OWNER)
- **Authorized official phone:** (802) 468-3216

## Contact information

- **Practice address:** 74 ROUTE 30 S, BOMOSEEN, VT 05732
- **Practice address phone:** (802) 468-3216
- **Practice address fax:** (802) 468-3216
- **Mailing address:** 74 ROUTE 30 S, BOMOSEEN, VT 05732
- **Mailing address phone:** (802) 468-3216
- **Mailing address fax:** (802) 468-3216

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | 0043 | VT | Yes |

## Other

- **Enumeration date:** 11/14/2006
- **Last updated:** 08/15/2008