Eagle Eye Farm Rehabilitation Center
Organization Active NPI Physical Disabilities Residential Treatment Facility · Newark, VT
NPI 1225199136 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1225199136
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Disabilities Residential Treatment Facility 320700000X
- License
- 0513 (VT)
- Legal business name
- EAGLE EYE FARM REHABILITATION CENTER
- Practice address
- 3014 Abbott Hill Road
Newark, VT 05871 - Phone
- (802) 525-6939
- NPI assigned
- Dec 13, 2006
- Organization subpart
- No
Authorized official
- Name
- Ms. Sarah Jane R Alexander
- Title
- Operations Manager
- Phone
- (802) 525-6939
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- Eagle Eye Farm Rehabilitation Center
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Disabilities Residential Treatment Facility | 320700000X | 0513 | VT | Yes |
Addresses
Primary practice location
3014 Abbott Hill Road
Newark, VT 05871
Mailing address
PO Box 247
West Burke, VT 05871-0247
Phone (802) 525-6939
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1012106 | Medicaid | VT |
Other providers in Newark, VT
All providers in Newark, VT · Physical Disabilities Residential Treatment Facility in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.