NPI:
1356755102
Provider Name:
ESSEX MANSFILED, LLC
Doing Business As: MANSFIELD PLACE
Classification:
Assisted Living Facility - 3104A0630X
Entity Type:
Organization
Specialization: Assisted Living, Behavioral Disturbances
CLIA Number: 47D2203543
Address:
18 CARMICHAEL ST
ESSEX JCT, VT
ZIP 05452
Phone:
(802) 871-5808
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ESSEX MANSFILED, LLC is an assisted living and behavioral disturbances assisted living facility in Essex Jct, VT. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but exhibit abnormal behavioral responses and habits and therefore need special guidance, assistance and/or monitoring to assure safety and well being. This type of facility requires a staff with special training in dealing with and redirecting negative, violent or destructive behaviors. ESSEX MANSFILED, LLC NPI is 1356755102. The provider is registered as an organization entity type.
The provider Is Doing Business As Mansfield Place.
The provider's business location address is:
18 CARMICHAEL ST
ESSEX JCT, VT
ZIP 05452-170
Phone: (802) 871-5808
The provider's authorized official is Michelle Gokey .
The authorized official title is Business Manager and has the following contact phone number (802) 871-5808.
The CLIA number assigned to this NPI record is 47D2203543 - assisted living facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 6/19/2014 and was last updated on 6/19/2014.