Organization
MH MANOR SOUTH OPERATING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HENRY J VAUGHN (REIMBURSEMENT ANALYST)
(240) 595-6025
Entity
Organization
Contact information
Practice address
20 HARBOR VIEW RD, SOUTH BURLINGTON, VT 05403-7850
(802) 863-7897
(802) 863-9728
Mailing address
20 HARBOR VIEW RD, SOUTH BURLINGTON, VT 05403-7850
(802) 863-7897
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
03/05/2020
Last updated
03/05/2020
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