Organization
EDEN PARK MANAGEMENT, INC.
Active
Other names
Eden Park of Rutland
Organization subpart
No
Provider details
NPI number
Authorized official
ALTON MENDLESON, JR. (PRESIDENT)
(518) 436-4731
Entity
Organization
Contact information
Practice address
99 ALLEN ST, RUTLAND, VT 05701-4501
(802) 775-2331
Mailing address
22 HOLLAND AVE, ALBANY, NY 12209-1713
(518) 436-4731
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0475018
—
VT
Enumeration date
11/09/2006
Last updated
08/22/2020
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