Organization
GINGRAS COMMUNITY CARE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LINDA SUSAN GINGRAS (OWNER/MANAGER)
(802) 479-9647
Entity
Organization
Contact information
Practice address
24 AVERILL ST, BARRE, VT 05641-3818
(802) 479-9647
Mailing address
24 AVERILL ST, BARRE, VT 05641-3818
(802) 479-9647
Taxonomy
Speciality
Code
Description
License number
State
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
Primary
0312
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
047W241
—
VT
Enumeration date
10/24/2006
Last updated
08/22/2020
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