OrganizationActive
Lakewood Adult Family Home Inc
NPI 1194920488 · Adult Care Home Facility · Bomoseen, VT
Provider details
- NPI number
- 1194920488
- Entity type
- Organization
- Primary specialty
- Adult Care Home FacilityNursing & Custodial Care Facilities
- Authorized official
- Richard Church, Administrator
- License
- 544 (VT)
Practice location
69 Rainbows End
Bomoseen, VT 05732-4417
Phone: (802) 468-3010
Fax: (802) 468-5374
Mailing address
Pob 1543
Castleton, VT 05735-1543
Registry dates
- Enumerated
- 2007-06-18
- Last updated
- 2008-06-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.