Healthcare Provider Details

I. General information

NPI: 1083197081
Provider Name (Legal Business Name): VERO HEALTH VI, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2018
Last Update Date: 09/14/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4586 ACUSHNET AVE
NEW BEDFORD MA
02745-4715
US

IV. Provider business mailing address

10500 LITTLE PATUXENT PKWY STE 300
COLUMBIA MD
21044-3522
US

V. Phone/Fax

Practice location:
  • Phone: 508-998-1188
  • Fax: 508-998-1739
Mailing address:
  • Phone: 410-992-0500
  • Fax: 443-539-7657

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: MR. DAVID C VINCENT
Title or Position: PRESIDENT
Credential:
Phone: 410-992-0500