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ELCM MANOR SOUTH MANAGEMENT LLC NPI 1447708771


NPI Information

NPI: 1447708771
Provider Name: ELCM MANOR SOUTH MANAGEMENT LLC

Doing Business As: PILLSBURY MANOR SOUTH

Classification: Custodial Care Facility - 311ZA0620X
Entity Type: Organization

Specialization: Adult Care Home

Address:
20 HARBOR VIEW RD
SOUTH BURLINGTON, VT
ZIP 05403
Phone: (802) 863-7897
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ELCM MANOR SOUTH MANAGEMENT LLC is an adult care home custodial care facility in South Burlington, VT. The provider is 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. ELCM MANOR SOUTH MANAGEMENT LLC NPI is 1447708771. The provider is registered as an organization entity type.
The provider Is Doing Business As Pillsbury Manor South.

The provider's business location address is:

20 HARBOR VIEW RD
SOUTH BURLINGTON, VT
ZIP 05403-850
Phone: (802) 863-7897
Fax: (802) 863-9728

The provider's authorized official is Paul Boethel .
The authorized official title is Principal and has the following contact phone number (972) 728-8739.

The enumeration date for this NPI number is 9/15/2016 and was last updated on 9/15/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1311ZA0620XCustodial Care FacilityAdult Care HomeVERMONTYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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