Organization
CCK HOLDINGS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. COLEEN CONDON KOHAUT NHA (MANAGING MEMBER)
(802) 752-1600
Entity
Organization
Contact information
Practice address
7 FOREST HILL DR, SAINT ALBANS, VT 05478-1615
(802) 524-3498
(802) 524-3071
Mailing address
110 FAIRFAX RD, SAINT ALBANS, VT 05478-6299
(802) 752-1600
(802) 752-1699
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
VT
Other
Enumeration date
01/01/2015
Last updated
01/01/2015
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