Milldale Farm Center For Wellness Plc

LBN: Milldale Farm Center For Wellness Plc
Milldale Farm Center For Wellness Plc is an health care organization with primary practice located at 1461 Blood Brook Rd , Fairlee VT 05045-9847. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. Milldale Farm Center For Wellness Plc can be contacted via phone (802) 299-1467, or through Wolter, Wesley via phone (802) 299-1467.

Contact Information

Primary practice address
1461 Blood Brook Rd Fairlee VT 05045-9847
Phone: (802) 299-1467
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wolter, Wesley
Phone: (802) 299-1467

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1508571043
LBN Legal business name Milldale Farm Center For Wellness Plc
DBA Doing business as
Authorized official Wolter, Wesley
Entity Organization
Organization subpart 1 No
Enumeration date Jan 19th, 2023
Last updated Jan 19th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1508571043 NPPES
Vermont MEDICAID 1417420290

Popular Providers