Organization
CLARKS RESIDENTIAL CARE HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LINDA E CLARK (OWNER)
(802) 888-1700
Entity
Organization
Contact information
Practice address
213 CLARK RD, HYDE PARK, VT 05655-9218
(802) 888-1700
(802) 888-9944
Mailing address
213 CLARK RD, HYDE PARK, VT 05655-9218
(802) 888-1700
(802) 888-9944
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
0370
VT
Other
Enumeration date
04/09/2007
Last updated
09/11/2007
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