Organization
VALLEY VIEW AT COTTAGE STREET, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DYLAN PUSHEE (OWNER/SINGLE MEMBER)
(802) 333-4829
Entity
Organization
Contact information
Practice address
92 COTTAGE STREET, BRADFORD, VT 05033
(802) 333-4829
(802) 333-7091
Mailing address
PO BOX 93, FAIRLEE, VT 05045-0093
(802) 333-4829
(802) 333-7091
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
—
—
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
07/12/2022
Last updated
07/15/2022
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