NPI 1821722125
Valley View at Cottage Street, LLC
Practice location
- Address
- 92 Cottage Street, Bradford, VT 05033
- Phone
- (802) 333-4829
- Fax
- (802) 333-7091
- Mailing address
- PO Box 93, Fairlee, VT 05045-0093
Authorised official
- Name
- Dylan Pushee
- Title
- Owner/Single Member
- Phone
- (802) 333-4829
Registered specialties (2)
Adult Care Home Facility
Primary
Custodial Care Facility
Registry record
- NPI
- 1821722125
- Entity type
- Organization
- NPI issued
- 12 Jul 2022
- Record last updated
- 15 Jul 2022
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.