Organization
LAMOILLE HOME HEALTH AGENCY, INC.
Active
Other names
Lamoille Home Health & Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN DEMARS RN (EXECUTIVE DIRECTOR)
(802) 888-4651
Entity
Organization
Contact information
Practice address
54 FARR AVE, MORRISVILLE, VT 05661-9181
(802) 888-4651
(802) 888-0062
Mailing address
54 FARR AVE, MORRISVILLE, VT 05661-9181
(802) 888-4651
(802) 888-0062
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
Primary
—
VT
251J00000X
Nursing Care Agency
—
—
251K00000X
Public Health or Welfare Agency
—
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0477015
—
VT
01
—
1004589
HBK&F
VT
01
—
1004855
TBI
VT
01
—
1004913
HI-TECH MEDICAID
VT
Enumeration date
12/16/2005
Last updated
04/04/2013
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