Hundred Acre Homestead

NPI 1033488036 - Community Based Residential Treatment Facility, Mental Illness - 320800000X

NPI Details
NPI 1033488036
Enumeration Date 12/20/2011
Last Updated 12/20/2011
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name DEBORAH DEBORAH
Position DIRECTOR/ FOUNDER
Phone (802) 223-9122
Fax
Practice Location
171 GOULD HILL RD
WORCESTER VT, 05682-9795, US
Phone (802) 223-9122
Fax
Business Location
171 GOULD HILL RD
WORCESTER VT, 05682-9795, US
Phone (802) 223-9122
Fax
Toxanomy
Taxonomy Code 320800000X
License State Vermont
License Number 547
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According to our database, Hundred Acre Homestead NPI is 1033488036, taxonomy code is 320800000X and license number is 547, license state is located at Vermont. Hundred Acre Homestead physically located at 171 Gould Hill Rd, Worcester VT, 05682-9795. NPI Number 1033115704 has the healthcare provider type.

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1033488036 NPI number is provided on an as is basis without warranty of any kind. 1033488036 is maintained by the National Plan & Provider Enumeration System. The contents of Hundred Acre Homestead are for informational purposes only.