# COUNTRY VILLAGE COMMUNITY CARE HOME INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Washington Elms
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982818522
- **Authorized official:** MR. EDGAR GREASON (VICE PRESIDENT)
- **Authorized official phone:** (802) 463-4722

## Contact information

- **Practice address:** 99 ATKINSON ST, BELLOWS FALLS, VT 05101-1302
- **Practice address phone:** (802) 463-4722
- **Practice address fax:** (802) 463-1986
- **Mailing address:** 99 ATKINSON ST, PO BOX 468, BELLOWS FALLS, VT 05101-1302
- **Mailing address phone:** (802) 463-4722
- **Mailing address fax:** (802) 463-1986

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | 0018 | VT | Yes |

## Other

- **Enumeration date:** 05/10/2007
- **Last updated:** 08/22/2020