Organization
THE FAMILY PLACE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NANCY B BLOOMFIELD (EXECUTIVE DIRECTOR)
(802) 649-3268
Entity
Organization
Contact information
Practice address
319 US ROUTE 5 S, NORWICH, VT 05055-9431
(802) 649-3268
(802) 649-3270
Mailing address
319 US ROUTE 5 S, NORWICH, VT 05055-9431
(802) 649-3268
(802) 649-3270
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
225100000X
Physical Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1005625
—
VT
Enumeration date
11/13/2006
Last updated
12/08/2015
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