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Organization
FOUR C'S INC.
Active
Organization
FOUR C'S INC.
Active
Other names
Holiday House
Organization subpart
No
Provider details
NPI number
Authorized official
MS. COLEEN KARA CONDON NHA (ADMINISTRATOR)
(802) 524-2996
Entity
Organization
Contact information
Practice address
642 SHELDON RD, SAINT ALBANS, VT 05478-8014
(802) 524-2996
(802) 524-7634
Mailing address
642 SHELDON RD, SAINT ALBANS, VT 05478-8014
(802) 524-2996
(802) 524-7634
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
0541
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
047R036
—
VT
05
—
047W245
—
VT
05
—
047W246
—
VT
Enumeration date
02/09/2007
Last updated
08/22/2020
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