Organization
CATHEDRAL SQUARE CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN S GROSECLOSE (DIRECTOR OF FINANCE)
(802) 863-2224
Entity
Organization
Contact information
Practice address
3 CATHEDRAL SQ, BURLINGTON, VT 05401-4429
(802) 863-3868
(802) 863-0385
Mailing address
308 PINE ST, BURLINGTON, VT 05401-4740
(802) 863-2224
(802) 863-6661
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
1001
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
047W223
—
VT
05
—
047W224
—
VT
Enumeration date
02/16/2007
Last updated
08/22/2020
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