Organization
STATE STREET ENTERPRISE, LLC
Active
Other names
Davis Home
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CARRIE J PATCH (MANAGER)
(802) 674-5300
Entity
Organization
Contact information
Practice address
45 STATE ST, WINDSOR, VT 05089-1213
(802) 674-5300
(802) 674-5388
Mailing address
45 STATE ST, WINDSOR, VT 05089-1213
(802) 674-5300
(802) 674-5388
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
0021
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
047W175
—
VT
05
—
047W179
—
VT
Enumeration date
03/12/2007
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us