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Organization

MH HOMESTEAD OPERATING, LLC

Active
Other names
Homestead Senior Living
Organization subpart
No

Provider details

NPI number
Authorized official
MR. HENRY J VAUGHN (REIMBURSEMENT ANALYST)
(240) 595-6025
Entity
Organization

Contact information

Practice address
64 HARBOR VIEW DR, SAINT ALBANS, VT 05478-4492
(802) 752-2102
Mailing address
64 HARBOR VIEW DR, SAINT ALBANS, VT 05478-4492
(802) 752-2102

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary

Other

Enumeration date
03/05/2020
Last updated
03/05/2020
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