Organization
VERGENNES RESIDENTIAL CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY F BUSKEY SR. (ADMINISTRATOR)
(802) 877-3562
Entity
Organization
Contact information
Practice address
34 NORTH ST, VERGENNES, VT 05491-1108
(802) 877-3562
(802) 877-3562
Mailing address
34 NORTH ST, VERGENNES, VT 05491-1108
(802) 877-3562
(802) 877-3562
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
0311
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
047R038
—
VT
05
—
047W234
—
VT
05
—
047W345
—
VT
Enumeration date
11/08/2006
Last updated
08/22/2020
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