Organization
NORTHEAST KINGDOM HOMECARE, INC.
Active
Other names
Meeting Place
Organization subpart
No
Provider details
NPI number
Authorized official
ELAINE GAY LOCKWOOD (PRESIDENT)
(802) 895-4994
Entity
Organization
Contact information
Practice address
100 2ND ST, NEWPORT, VT 05855-2185
(802) 334-7604
Mailing address
PO BOX 250, NEWPORT, VT 05855-0250
(802) 895-4994
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
047W272
—
VT
Enumeration date
08/24/2021
Last updated
08/24/2021
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