47D2207834 CLIA NUMBER - WEST RIVER VALLEY ASSISTED LIVING VALLEY CARES INC

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Laboratory Demographics

CLIA Number: 47D2207834

Facility Name: WEST RIVER VALLEY ASSISTED LIVING VALLEY CARES INC

Facility Address:
461 GRAFTON ROAD
TOWNSHEND, VT
ZIP 05353
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Facility Phone Number: 802 365-7190

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1568794295

Taxonomy: 1223G0001X - Dentist
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

CLIA Record

Field Name	Field Value
CLIA Number	47D2207834
LAB Type	Assisted Living Facility
Facility Name	WEST RIVER VALLEY ASSISTED LIVING VALLEY CARES INC
Street	461 GRAFTON ROAD
City	TOWNSHEND
State	VT
ZIP	05353
Phone	802 365-7190
CertificateType	4
CertificateEffectiveDate	12/31/2022
CertificateExpirationDate	12/30/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024