Organization
GRANITE CITY HOUSING, INC.
Active
Other names
Lincoln House
Organization subpart
No
Provider details
NPI number
Authorized official
MS. HARRIET DAVIS (EXECUTIVE DIRECTOR)
(802) 476-3283
Entity
Organization
Contact information
Practice address
120 HILL ST, BARRE, VT 05641-3915
(802) 476-3283
(802) 476-3349
Mailing address
120 HILL ST, BARRE, VT 05641-3915
(802) 476-3283
(802) 476-3349
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
0175
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
047W122
—
VT
Enumeration date
10/10/2006
Last updated
11/27/2007
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