Organization
BENNINGTON PROJECT INDEPENDENCE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA S WICHLAC (EXECUTIVE DIRECTOR)
(802) 442-8136
Entity
Organization
Contact information
Practice address
614 HARWOOD HILL RD, BENNINGTON, VT 05201-9006
(802) 442-8136
(802) 447-8291
Mailing address
PO BOX 1504, BENNINGTON, VT 05201-1504
(802) 442-8136
(802) 447-8291
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
047W030
—
VT
05
—
047W129
—
VT
Enumeration date
10/27/2005
Last updated
09/20/2024
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