Organization
MANCHESTER HEALTH SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA L KEOUGH RN (EXECUTIVE DIRECTOR)
(802) 362-2126
Entity
Organization
Contact information
Practice address
5468 MAIN STREET, MANCHESTER CENTER, VT 05255-1224
(802) 362-2126
(802) 362-4884
Mailing address
PO BOX 1224, MANCHESTER CENTER, VT 05255-1224
(802) 362-2126
(802) 362-4884
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251K00000X
Public Health or Welfare Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0477009
—
VT
05
—
1005204
—
VT
05
—
1005284
—
VT
01
—
200053307
MVP-OUTPATIENT
VT
01
—
477009
BCBS
VT
01
—
954574
MVP
VT
Enumeration date
05/02/2006
Last updated
05/21/2009
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