NPI 1205018694

Nine Haywood Avenue Operations LLC

Organisation Skilled Nursing Facility Rutland, VT

Practice location

Address: 9 Haywood Ave, Rutland, VT 05701-4832
Phone: (802) 775-0007
Fax: (802) 775-3241
Mailing address: 101 E State St, Kennett Square, PA 19348-3109

Authorised official

Name: Michael T Berg
Title: Secretary
Phone: (505) 468-4742

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X Licence N/A (VT)

Other Skilled Nursing Facility providers in Vermont →

Registry record

NPI: 1205018694
Entity type: Organization
NPI issued: 28 Nov 2007
Record last updated: 14 Oct 2024

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.