Organization
MAYO HEALTHCARE INC
Active
Other names
MAYO DELARY HOUSE ACCS
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LOIS A LUSIGNAN (BUSINESS MANAGER)
(802) 485-3161
Entity
Organization
Contact information
Practice address
220 VINE ST, NORTHFIELD, VT 05663-6751
(802) 485-3161
Mailing address
71 RICHARDSON ST, NORTHFIELD, VT 05663-5644
(802) 485-3161
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
0142
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
047W121
—
VT
Enumeration date
02/20/2007
Last updated
08/22/2020
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