MEDICARE: VERO HEALTH VIII, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	314000000X	Skilled Nursing Facility

General Provider Information

NPI Number	:	1720561723
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VERO HEALTH VIII, LLC

Provider Business Mailing Address
First Line	:	10500 LITTLE PATUXENT PKWY STE 300
Second Line	:
City	:	COLUMBIA
State	:	MD
Zip	:	21044-3522
Country	:	US
Telephone Number	:	410-992-0500
Fax Number	:	443-539-7657

Provider Business Practice Location Address
First Line	:	907 CENTER ST
Second Line	:
City	:	NORTH DIGHTON
State	:	MA
Zip	:	02764-1710
Country	:	US
Telephone Number	:	508-669-6741
Fax Number	:	508-669-4054

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. DAVID C VINCENT
Credential	:
Telephone Number	:	410-992-0500

Provider Enumeration Date	:	09/14/2018
Last Update Date	:	09/14/2018

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Directions to “VERO HEALTH VIII, LLC ” Practice Location

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