Organization
PROSPECT NURSING HOME, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETER J. MORRIS MBA (PRESIDENT)
(802) 447-7144
Entity
Organization
Contact information
Practice address
20 PROSPECT ST, NORTH BENNINGTON, VT 05257-9544
(802) 447-7144
(802) 447-3044
Mailing address
PO BOX 878, NORTH BENNINGTON, VT 05257-0878
(802) 447-7144
(802) 447-3044
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0270000217
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01440239
—
NY
05
—
0475041
—
VT
Enumeration date
05/22/2006
Last updated
08/14/2007
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