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Organization
GREEN MOUNTAIN SUPPORT SERVICES INC.
Active
Organization
GREEN MOUNTAIN SUPPORT SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSHUA SMITH (EXECUTIVE DIRECTOR)
(802) 888-7602
Entity
Organization
Contact information
Practice address
93 JAMES RD, MORRISVILLE, VT 05661-8790
(802) 888-7602
Mailing address
93 JAMES RD, MORRISVILLE, VT 05661-8790
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
047W274
—
VT
05
—
100557
—
VT
05
—
1006673
—
VT
05
—
1013480
—
VT
05
—
1013618
—
VT
05
—
6040026
—
VT
Enumeration date
06/05/2019
Last updated
06/05/2019
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