Organization
NORTHEAST KINGDOM COUNCIL ON AGING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBORAH ROUSSEAU ROUSSEAU (DIRECTOR OF CASE MANAGEMENT)
(802) 748-5182
Entity
Organization
Contact information
Practice address
481 SUMMER ST STE 101, SAINT JOHNSBURY, VT 05819-2103
(802) 748-5182
(802) 748-6622
Mailing address
481 SUMMER ST STE 101, SAINT JOHNSBURY, VT 05819-2103
(802) 748-5182
(802) 748-6622
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
047W003
—
VT
Enumeration date
05/06/2016
Last updated
05/06/2016
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