NPI 1154446367

Windover House INC

Organisation Adult Care Home Facility Randolph, VT

Practice location

Address: 451 Vt Route 66, Randolph, VT 05060-9387
Phone: (802) 728-3802

Authorised official

Name: Donald L Jacobs
Title: President
Phone: (802) 728-3802

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X Licence 0109 (VT)

Other Custodial Care Facility providers in Vermont →

Registry record

NPI: 1154446367
Entity type: Organization
NPI issued: 20 Mar 2007
Record last updated: 22 Aug 2020

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.