Organization · Type 2 NPI

The Coon House

Adult Care Home Facility · Bomoseen, VT

NPI number 1619049020 Active · reactivated Aug 15, 2008

Practice location

74 Route 30 S
Bomoseen, VT 05732

Fax (802) 468-3216

Specialties and licenses

TaxonomyCodeLicense
Adult Care Home Facility Primary 311ZA0620X0043 (VT)

Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

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About NPI 1619049020

The Coon House's National Provider Identifier is 1619049020, issued on Nov 14, 2006. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Bomoseen, VT. The record was last updated on Aug 15, 2008.