Organization
CRAFTSBURY COMMUNITY CARE CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LANCE W. COMFORT (EXECUTIVE DIRECTOR)
(802) 586-2414
Entity
Organization
Contact information
Practice address
1784 E CRAFTSBURY RD, CRAFTSBURY, VT 05826-9519
(802) 586-2414
(802) 586-6956
Mailing address
1784 E CRAFTSBURY RD, CRAFTSBURY, VT 05826-9519
(802) 586-2414
(802) 586-6956
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
0292
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
047W090
—
VT
Enumeration date
03/26/2007
Last updated
08/22/2020
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