ROXANNE HANSON LADABOUCHE
Nursing Yellow Pages
Swanton, Vermont
Provider NPI: 1114142825
Organization Information:Organization Name: ROXANNE HANSON LADABOUCHE
Practice Location:
34 CANADA ST SWANTON, VT 05488 US
Tel: 802-868-3903 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
34 CANADA ST SWANTON, VT 05488 US
Tel: 802-868-3903 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 311ZA0620X | Nursing & Custodial Care Facilities Custodial Care Facility Adult Care Home | VT | 0038 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
047W157 | VT | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin