Organization
TC HEALTHCARE I, LLC
Active
Other names
Rutland Manor
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY COBURN (OFFICER)
(860) 930-0091
Entity
Organization
Contact information
Practice address
46 NICHOLS ST, RUTLAND, VT 05701-3275
(802) 775-4939
(802) 773-2196
Mailing address
86 JUNIPER LN, GLASTONBURY, CT 06033-2515
(860) 930-0091
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
—
—
Other
Enumeration date
08/01/2008
Last updated
08/01/2008
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