Healthcare Provider Details

I. General information

NPI: 1043429418
Provider Name (Legal Business Name): SILVER CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2007
Last Update Date: 10/18/2021
Certification Date: 10/18/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

148 PROUTY DR
NEWPORT VT
05855-9513
US

IV. Provider business mailing address

148 PROUTY DR
NEWPORT VT
05855-9513
US

V. Phone/Fax

Practice location:
  • Phone: 802-334-7321
  • Fax: 802-334-1548
Mailing address:
  • Phone: 802-334-7321
  • Fax: 802-334-1548

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: BRUCE H WEDDINGTON
Title or Position: CHIEF OPERATING AND FINANCIAL OFFIC
Credential:
Phone: 802-334-7321