Organization
HAVEN HEALTH CENTER OF RUTLAND, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA BLOOM (DIRECTOR OF AR)
(860) 344-3884
Entity
Organization
Contact information
Practice address
46 NICHOLS ST, RUTLAND, VT 05701-3275
(802) 775-2941
(802) 773-2196
Mailing address
46 NICHOLS ST, RUTLAND, VT 05701-3275
(802) 775-2941
(802) 773-2196
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
047W089
VT
311Z00000X
Custodial Care Facility
047W049
VT
314000000X
Skilled Nursing Facility
0475039
VT
314000000X
Skilled Nursing Facility
Primary
475039
VT
385H00000X
Respite Care
047R023
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0475039
—
VT
05
—
047R023
—
VT
05
—
047W049
—
VT
05
—
047W089
—
VT
Enumeration date
02/09/2006
Last updated
12/28/2007
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