Organization
VERMONT VETERANS' HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA A JACKSON BSW, LNHA (CHIEF EXECUTIVE OFFICER)
(802) 447-6533
Entity
Organization
Contact information
Practice address
325 NORTH STREET, BENNINGTON, VT 05201-1858
(802) 448-6353
(802) 447-6466
Mailing address
325 NORTH STREET, BENNINGTON, VT 05201-1858
(802) 447-6353
(802) 447-6466
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0475032
—
VT
Enumeration date
11/18/2005
Last updated
04/16/2018
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