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Organization

MAYO HEALTHCARE INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHELLIE MARIE STEVENS RN (LNHA)
(802) 485-3161
Entity
Organization

Contact information

Practice address
71 RICHARDSON ST, NORTHFIELD, VT 05663-5644
(802) 485-3161
(802) 485-6307
Mailing address
71 RICHARDSON ST, NORTHFIELD, VT 05663-5644
(802) 485-3161
(802) 485-6307

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0475053
VT
Enumeration date
09/29/2005
Last updated
04/03/2024
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