Provider Demographics
NPI:1881188662
Name:VERMONTCARE CENTER
Entity Type:Organization
Organization Name:VERMONTCARE CENTER
Other - Org Name:VERMONT CARE CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:M
Authorized Official - Last Name:BARRIOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:213-384-1682
Mailing Address - Street 1:1316 S VERMONT AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90006-4502
Mailing Address - Country:US
Mailing Address - Phone:213-384-1682
Mailing Address - Fax:
Practice Address - Street 1:1316 S VERMONT
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90006-4502
Practice Address - Country:US
Practice Address - Phone:213-384-1682
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-15
Last Update Date:2021-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes177F00000XOther Service ProvidersLodging