Organization
THE CONVERSE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LORRAINE M. TOMLINSON (BUSINESS MANAGER)
(802) 862-0401
Entity
Organization
Contact information
Practice address
272 CHURCH ST, BURLINGTON, VT 05401-8452
(802) 862-0401
(802) 864-4932
Mailing address
272 CHURCH ST, BURLINGTON, VT 05401-8452
(802) 862-0401
(802) 864-4932
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
121
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
047W208
EDS-ACCS
VT
01
—
047W209
EDS-ERC
VT
Enumeration date
10/26/2006
Last updated
08/22/2020
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