Organization
NINE HAYWOOD AVENUE OPERATIONS LLC
Active
Other names
Mountain View Center
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL T BERG (SECRETARY)
(505) 468-4742
Entity
Organization
Contact information
Practice address
9 HAYWOOD AVE, RUTLAND, VT 05701-4832
(802) 775-0007
(802) 775-3241
Mailing address
101 E STATE ST, KENNETT SQUARE, PA 19348-3109
(610) 925-4436
(610) 925-4351
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
N/A
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1016087
—
VT
Enumeration date
11/28/2007
Last updated
10/14/2024
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