Organization
PROVIDENCE HEALTH CARE LLC
Active
Other names
Heritage at Bel-Aire Center
Organization subpart
No
Provider details
NPI number
Authorized official
MARCELLA WILKINSON (CORPORATE DIRECTOR)
(610) 925-4045
Entity
Organization
Contact information
Practice address
35 BEL AIRE DR, NEWPORT, VT 05855-4953
(802) 334-2878
(802) 334-1008
Mailing address
101 E STATE ST, KENNETT SQUARE, PA 19348-3109
(610) 925-4436
(610) 925-4351
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
0104
VT
Other
Enumeration date
11/27/2007
Last updated
11/24/2008
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