Organization
BERTHA CHURCH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JEANETTE B RACINE (PRESIDENT OWNER)
(802) 658-2991
Entity
Organization
Contact information
Practice address
32 CHURCH STREET, BURLINGTON, VT 05401
(802) 658-2991
(802) 658-2992
Mailing address
32 CHURCH STREET, BURLINGTON, VT 05401
(802) 658-2991
(802) 658-2992
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007272
—
VT
Enumeration date
03/26/2007
Last updated
11/19/2007
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