Organization
HAVEN HEALTH CENTER OF ST ALBANS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA BLOOM (DIRECTOR OF AR)
(860) 344-3884
Entity
Organization
Contact information
Practice address
596 SHELDON RD, ST ALBANS, VT 05478-8011
(802) 524-6534
(802) 524-2429
Mailing address
596 SHELDON RD, ST ALBANS, VT 05478-8011
(802) 524-6534
(802) 524-2429
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
027-0000269
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
475021
—
VT
Enumeration date
12/01/2005
Last updated
12/28/2007
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