NPI 1619049020

The Coon House

Organisation Adult Care Home Facility Bomoseen, VT

Practice location

Address: 74 Route 30 S, Bomoseen, VT 05732
Phone: (802) 468-3216
Fax: (802) 468-3216

Authorised official

Name: Shirley D. Sears
Title: Owner
Phone: (802) 468-3216

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X Licence 0043 (VT)

Other Custodial Care Facility providers in Vermont →

Registry record

NPI: 1619049020
Entity type: Organization
NPI issued: 14 Nov 2006
Record last updated: 15 Aug 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.