Healthcare Provider Details

I. General information

NPI: 1790810786
Provider Name (Legal Business Name): PILLSBURY ASSOCIATES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/22/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 HARBOR VIEW RD
SOUTH BURLINGTON VT
05403-7850
US

IV. Provider business mailing address

20 HARBOR VIEW RD
SOUTH BURLINGTON VT
05403-7850
US

V. Phone/Fax

Practice location:
  • Phone: 802-863-7897
  • Fax: 802-863-9728
Mailing address:
  • Phone: 802-863-7897
  • Fax: 802-863-9728

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number0149
License Number StateVT

VIII. Authorized Official

Name: MR. WILLIAM G. SPALDING
Title or Position: DIRECTOR
Credential:
Phone: 802-863-7897