NPI 1538341011

Providence Health Care LLC

Organisation Assisted Living Facility Newport, VT

Practice location

Address: 35 Bel Aire Dr, Newport, VT 05855-4953
Phone: (802) 334-2878
Fax: (802) 334-1008
Mailing address: 101 E State St, Kennett Square, PA 19348-3109

Authorised official

Name: Marcella Wilkinson
Title: Corporate Director
Phone: (610) 925-4045

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X Licence 0104 (VT)

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Registry record

NPI: 1538341011
Entity type: Organization
NPI issued: 27 Nov 2007
Record last updated: 24 Nov 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.