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Organization

THE COON HOUSE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHIRLEY D. SEARS (OWNER)
(802) 468-3216
Entity
Organization

Contact information

Practice address
74 ROUTE 30 S, BOMOSEEN, VT 05732
(802) 468-3216
(802) 468-3216
Mailing address
74 ROUTE 30 S, BOMOSEEN, VT 05732
(802) 468-3216
(802) 468-3216

Taxonomy

Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
0043
VT

Other

Enumeration date
11/14/2006
Last updated
08/15/2008
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