Organization
BEARMT MAPLE LANE
Active
Parent organization
BEAR MOUNTAIN HEALTHCARE, LLC
Other names
Maple Lane Nursing Home
Organization subpart
Yes
Provider details
NPI number
Legal business name
BEAR MOUNTAIN HEALTHCARE, LLC
Authorized official
JOHN WYNNE (CFO)
(203) 904-7462
Entity
Organization
Contact information
Practice address
60 MAPLE LN, BARTON, VT 05822-9494
(802) 754-2112
Mailing address
60 MAPLE LN, BARTON, VT 05822-9494
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
11/02/2018
Last updated
11/02/2018
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