Organization
FOUR C'S INC.
Active
Other names
Holiday House
Organization subpart
No
Provider details
NPI number
Authorized official
MS. COLEEN KARA CONDON NHA (ADMINISTRATOR)
(802) 524-2996
Entity
Organization
Contact information
Practice address
642 SHELDON RD, SAINT ALBANS, VT 05478-8014
(802) 524-2996
(802) 524-7634
Mailing address
642 SHELDON RD, SAINT ALBANS, VT 05478-8014
(802) 524-2996
(802) 524-7634
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
0541
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
047R036
—
VT
05
—
047W245
—
VT
05
—
047W246
—
VT
Enumeration date
02/09/2007
Last updated
08/22/2020
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