Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Adult Day Care |
261QA0600X |
| NPI Number | 1508080334 |
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| LBN Legal business name | GREEN MOUNTAIN ADULT DAY SERVICES, LLC | ||||||||||||
| Authorized official | DAVID SILVER - (MANAGER) | ||||||||||||
| Entity | Organization | ||||||||||||
| Organization subpart 1 | No | ||||||||||||
| Enumeration date | 04/12/2007 | ||||||||||||
| Last updated | 08/22/2020 - About 6 years ago | ||||||||||||
| Identifiers |
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