105 Chester Road Operations LLC
NPI #1598132730 in Springfield, Vermont
Provider Information
- NPI Number
- 1598132730
- Entity Type
- Organization
- Organization Name
- 105 Chester Road Operations LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- SUMMIT CARE LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Aug 24, 2015
- Last Updated
- Aug 29, 2023
Practice Location
- Address
- 105 CHESTER RD
- City
- Springfield
- State
- Vermont
- ZIP Code
- 05156-2106
- Phone
- (802) 885-5741
Authorized Official
- Name
- MICHAEL T BERG
- Title
- ASSISTANT SECRETARY
- Phone
- (505) 468-4742
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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