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Organization
TC HEALTHCARE I, LLC
Active
Organization
TC HEALTHCARE I, LLC
Active
Other names
Rutland Manor
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY COBURN (OFFICER)
(860) 930-0091
Entity
Organization
Contact information
Practice address
46 NICHOLS ST, RUTLAND, VT 05701-3275
(802) 775-4939
(802) 773-2196
Mailing address
86 JUNIPER LN, GLASTONBURY, CT 06033-2515
(860) 930-0091
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
—
—
Other
Enumeration date
08/01/2008
Last updated
08/01/2008
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