Organization
NORTHEAST KINGDOM HUMAN SERVICES INC ACCS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIC GRIMS (CHIEF EXECUTIVE OFFICER)
(802) 334-6744
Entity
Organization
Contact information
Practice address
154 DUCHESS ST, NEWPORT, VT 05855
(802) 334-6744
(802) 334-7340
Mailing address
PO BOX 724, NEWPORT, VT 05855-0724
(802) 334-6744
(802) 334-7340
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
047W143
—
VT
05
—
047W153
—
VT
05
—
047W161
—
VT
05
—
047W240
—
VT
Enumeration date
03/15/2007
Last updated
08/22/2020
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