Nine Haywood Avenue Operations LLC
Skilled Nursing Facility in Rutland, VT. Organization (NPI-2).
NPI number1205018694
StatusActive
Last updated in NPPESOct 14, 2024
Details
- NPI
- 1205018694
- Entity type
- Organization (NPI-2)
- Legal business name
- Nine Haywood Avenue Operations LLC
- Organization subpart
- No
- Enumeration date
- Nov 28, 2007
- Certification date
- Oct 14, 2024
- Last updated
- Oct 14, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | N/A | VT | Yes |
Other names
- Mountain View Center (Doing Business As)
Practice location
9 Haywood AveRutland, VT 05701-4832
Phone 802-775-0007 · Fax 802-775-3241
Mailing address
101 E State StKennett Square, PA 19348-3109
Phone 610-925-4436 · Fax 610-925-4351
Authorized official
Michael T Berg
Secretary
5054684742
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