NPI 1194920488

Lakewood Adult Family Home INC

Organisation Adult Care Home Facility Bomoseen, VT

Practice location

Address: 69 Rainbows End, Bomoseen, VT 05732-4417
Phone: (802) 468-3010
Fax: (802) 468-5374
Mailing address: Pob 1543, Castleton, VT 05735-1543

Authorised official

Name: Richard James Church
Title: Administrator
Phone: (802) 468-3010

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X Licence 544 (VT)

Other Custodial Care Facility providers in Vermont →

Registry record

NPI: 1194920488
Entity type: Organization
NPI issued: 18 Jun 2007
Record last updated: 24 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.