Organization
THE MANOR INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LYNNETTE A SMITH (ADMINISTRATOR)
(802) 888-8752
Entity
Organization
Contact information
Practice address
577 WASHINGTON HIGHWAY, MORRISVILLE, VT 05661
(802) 888-8700
(802) 888-8782
Mailing address
577 WASHINGTON HIGHWAY, MORRISVILLE, VT 05661
(802) 888-8700
(802) 888-8782
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
0378
VT
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
0270000273
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0475057
—
VT
01
—
047W167
ACES
VT
Enumeration date
10/17/2006
Last updated
06/21/2011
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