Organization
BEARMT NEWPORT, LLC
Active
Parent organization
BEAR MOUNTAIN HEALTHCARE, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
BEAR MOUNTAIN HEALTHCARE, LLC
Authorized official
JOHN WYNNE (CFO)
(203) 904-7462
Entity
Organization
Contact information
Practice address
148 PROUTY DR, NEWPORT, VT 05855-9513
(802) 334-7321
Mailing address
148 PROUTY DR, NEWPORT, VT 05855-9513
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
11/02/2018
Last updated
11/02/2018
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