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Organization

EAGLE EYE FARM REHABILITATION CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. SARAH JANE ROHAN ALEXANDER (OPERATIONS MANAGER)
(802) 723-9800
Entity
Organization

Contact information

Practice address
3014 ABBOTT HILL ROAD, NEWARK, VT 05871
(802) 723-9800
(802) 723-9800
Mailing address
PO BOX 247, WEST BURKE, VT 05871
(802) 723-9800
(802) 723-9800

Taxonomy

Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1004774
VT
05
1012106
VT
Enumeration date
10/02/2006
Last updated
12/07/2010
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