Organization
THE MANES HOUSE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOLLY BAKER (PRESIDENT)
(802) 442-8900
Entity
Organization
Contact information
Practice address
127 UNION ST, BENNINGTON, VT 05201-2406
(802) 442-8900
(802) 442-3438
Mailing address
127 UNION ST, BENNINGTON, VT 05201-2406
(802) 442-8900
(802) 442-3438
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
0193
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
047W076
—
VT
05
—
047W165
—
VT
Enumeration date
03/08/2007
Last updated
08/22/2020
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