Our Lady of Providence Vt. Inc.

NPI #1285769174 in Winooski, Vermont

Provider Information

NPI Number
1285769174
Entity Type
Organization
Organization Name
Our Lady of Providence Vt. Inc.
Primary Specialty
Assisted Living Facility
Enumeration Date
Feb 22, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
47 W SPRING ST
State
Vermont
ZIP Code
05404-1319
Phone
(802) 655-2395

Authorized Official

Name
CARMEN PROULX
Title
SISTER
Phone
(802) 655-2395

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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