| Organization Name: | MANCHESTER HEALTH SERVICES INC |
| NPI Number: | 1528026457 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BARBARA L KEOUGH (EXECUTIVE DIRECTOR) |
| Mailing Address: | 5468 Main Street Manchester Center |
| State: | VT US |
| Postal Code: | 052551224 |
| Phone Number: | 8023622126 |
| Fax Number: | 8023624884 |
| NPI Enumeration Date: | 05/02/2006 |
| NPI Last Update Date: | 05/21/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251K00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Public Health or Welfare |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |