Vergennes Residential Care, Inc.

NPI #1508936733 in Vergennes, Vermont

Provider Information

NPI Number
1508936733
Entity Type
Organization
Organization Name
Vergennes Residential Care, Inc.
Primary Specialty
Custodial Care Facility
Enumeration Date
Nov 8, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
34 NORTH ST
State
Vermont
ZIP Code
05491-1108
Phone
(802) 877-3562

Authorized Official

Name
MR. TIMOTHY F BUSKEY SR.
Title
ADMINISTRATOR
Phone
(802) 877-3562

Specialties & Taxonomy Codes

Specialty
Custodial Care Facility

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