Healthcare Provider Details

I. General information

NPI: 1770520025
Provider Name (Legal Business Name): PACE VERMONT, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

786 COLLEGE PKWY
COLCHESTER VT
05446-3007
US

IV. Provider business mailing address

786 COLLEGE PKWY
COLCHESTER VT
05446-3007
US

V. Phone/Fax

Practice location:
  • Phone: 802-655-6700
  • Fax:
Mailing address:
  • Phone: 802-655-6700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number StateVT

VIII. Authorized Official

Name: SUSAN WATSON
Title or Position: EXECUTIVE DIRECT
Credential:
Phone: 802-655-6700