Organization
ROXANNE HANSON LADABOUCHE
Active
Other names
Giordano Manor Community Care Home
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROXANNE L LADABOUCHE LPN (MANAGER)
(802) 868-3903
Entity
Organization
Contact information
Practice address
34 CANADA ST, SWANTON, VT 05488-1041
(802) 868-3903
(802) 868-4339
Mailing address
34 CANADA ST, SWANTON, VT 05488-1041
(802) 868-3903
(802) 868-4339
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
0038
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
047W157
—
VT
Enumeration date
04/16/2007
Last updated
06/17/2008
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