Organization
EAGLE EYE FARM REHABILITATION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SARAH JANE R ALEXANDER (OPERATIONS MANAGER)
(802) 525-6939
Entity
Organization
Contact information
Practice address
3014 ABBOTT HILL ROAD, NEWARK, VT 05871
(802) 525-6939
Mailing address
PO BOX 247, WEST BURKE, VT 05871-0247
(802) 525-6939
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
0513
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1012106
—
VT
Enumeration date
12/13/2006
Last updated
08/22/2020
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