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Organization

LAMOILLE AREA ADULT DAY CARE CENTER

Active
Other names
Out & About
Organization subpart
No

Provider details

NPI number
Authorized official
BLAIR SCOTT WEST (EXECUTIVE DIRECTOR)
(802) 888-7045
Entity
Organization

Contact information

Practice address
11 COURT ST, MORRISVILLE, VT 05661-6095
(802) 888-7045
(802) 888-8809
Mailing address
11 COURT ST, MORRISVILLE, VT 05661-6095
(802) 888-7045
(802) 888-8809

Taxonomy

Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
047W021
MEDICAID PROVIDER ID
VT
Enumeration date
07/13/2007
Last updated
08/22/2020
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