State Street Enterprise, LLC

NPI #1922130236 in Windsor, Vermont

Provider Information

NPI Number
1922130236
Entity Type
Organization
Organization Name
State Street Enterprise, LLC
Primary Specialty
Assisted Living Facility
Enumeration Date
Mar 12, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
45 STATE ST
State
Vermont
ZIP Code
05089-1213
Phone
(802) 674-5300

Authorized Official

Name
MS. CARRIE J PATCH
Title
MANAGER
Phone
(802) 674-5300

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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