Idlewild Associates, Llc

NPI 1164800884 - Counselor - 101Y00000X

NPI Details
NPI 1164800884
Enumeration Date 05/14/2015
Last Updated 05/14/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name LISA ANN LISA
Position CO-OWNER
Phone (802) 287-0841
Fax
Practice Location
153 MAIN ST
POULTNEY VT, 05764-4413, US
Phone (802) 287-0841
Fax
Business Location
PO BOX 7
POULTNEY VT, 05764-0007, US
Phone (802) 287-0841
Fax
Toxanomy
Taxonomy Code 101Y00000X
License State Vermont
License Number 097.0107404
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According to our database, Idlewild Associates, Llc NPI is 1164800884, taxonomy code is 101Y00000X and license number is 097.0107404, license state is located at Vermont. Idlewild Associates, Llc physically located at 153 Main St, Poultney VT, 05764-4413. NPI Number 1033115704 has the healthcare provider type.

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1164800884 NPI number is provided on an as is basis without warranty of any kind. 1164800884 is maintained by the National Plan & Provider Enumeration System. The contents of Idlewild Associates, Llc are for informational purposes only.