NPI 1295360618

Mh Manor South Operating, LLC

Organisation Assisted Living Facility South Burlington, VT

Practice location

Address: 20 Harbor View Rd, South Burlington, VT 05403-7850
Phone: (802) 863-7897
Fax: (802) 863-9728

Authorised official

Name: Henry J Vaughn
Title: Reimbursement Analyst
Phone: (240) 595-6025

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X

Other Assisted Living Facility providers in Vermont →

Registry record

NPI: 1295360618
Entity type: Organization
NPI issued: 5 Mar 2020
Record last updated: 5 Mar 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.