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State Street Enterprise, Llc
Assisted Living Facility in Windsor, Vermont
NPI 1922130236

State Street Enterprise, Llc is an Assisted Living Facility based in Windsor, VT. State Street Enterprise, Llc practices in Windsor, VT. The NPI Number for State Street Enterprise, Llc is 1922130236 and holds a License No. 0021 (Vermont).

The current practice location address for State Street Enterprise, Llc is 45 State St, Windsor, VT and can be reached out via phone at 802-674-5300 and via fax at 802-674-5388.

Location: 45 State St, Windsor, VT, 05089-1213
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1922130236
Provider Name
State Street Enterprise, Llc
Credential
Provider Entity Type
Organization
Address
45 State St, Windsor, VT, 05089-1213
Phone Number
802-674-5300
Fax Number
802-674-5388
Provider Enumeration Date
03/12/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
047W175 05 VT
047W179 05 VT
institution
Provider Business Practice Location Address Details
Address
45 State St
City
Windsor
State
Vermont
Zip
05089-1213
Phone Number
802-674-5300
Fax Number
802-674-5388
person
Provider Business Mailing Address Details
Address
45 State St
City
Windsor
State
Vermont
Zip
05089-1213
Phone Number
802-674-5300
Fax Number
802-674-5388
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
0021 (Vermont)
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
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