# TC HEALTHCARE I, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Rutland Manor
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851556930
- **Authorized official:** MR. TIMOTHY COBURN (OFFICER)
- **Authorized official phone:** (860) 930-0091

## Contact information

- **Practice address:** 46 NICHOLS ST, RUTLAND, VT 05701-3275
- **Practice address phone:** (802) 775-4939
- **Practice address fax:** (802) 773-2196
- **Mailing address:** 86 JUNIPER LN, GLASTONBURY, CT 06033-2515
- **Mailing address phone:** (860) 930-0091

## Taxonomy

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

## Other

- **Enumeration date:** 07/28/2008
- **Last updated:** 07/28/2008
