NPI 1114142825

Roxanne Hanson Ladabouche

Organisation Adult Care Home Facility Swanton, VT

Practice location

Address: 34 Canada St, Swanton, VT 05488-1041
Phone: (802) 868-3903
Fax: (802) 868-4339

Authorised official

Name: Roxanne L Ladabouche
Title: Manager
Phone: (802) 868-3903

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X Licence 0038 (VT)

Other Custodial Care Facility providers in Vermont →

Registry record

NPI: 1114142825
Entity type: Organization
NPI issued: 16 Apr 2007
Record last updated: 17 Jun 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.