Organization
2 BLACKBERRY LANE OPERATIONS LLC
Active
Parent organization
SUMMIT CARE LLC
Other names
Bennington Health and Rehabilitation Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
SUMMIT CARE LLC
Authorized official
MICHAEL T BERG (ASSISTANT SECRETARY)
(505) 468-4742
Entity
Organization
Contact information
Practice address
2 BLACKBERRY LN, BENNINGTON, VT 05201-2300
(802) 442-8525
(802) 442-8526
Mailing address
2 BLACKBERRY LN, BENNINGTON, VT 05201-2300
(802) 442-8525
(802) 442-8526
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
00000
VT
Other
Enumeration date
07/29/2015
Last updated
08/11/2016
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