Facility / HOME DERBY / DERBY / Ladd Hall Waterbury / /
Company
X5 / /
Event
Person Communication and Meetings / FDA Phase / /
Facility
DATE SURVEY COMPLETED A. BUILDING / SS=D INVESTIGATE/REPORT ALLEGATIONS/I NDIVI DUALS The facility / Facility ID / Hall Waterbury / / /
Organization
~YERMONT AGENCY OF HUMAN SERVICES DEPARTMENT OF DISABILITIES / AGING AND INDEPENDENT LIVING Division of Licensing and Protection / United Nations / State survey and certification agency / Division of Licensing and Protection / DEPARTMENT OF HEALTH AND HUMAN SERVICES / MEDICARE / /
Person
Lisa Bohlman / Derby Green / Pamela M. Cota / Derby Green Nursing / / /
~YERMONT AGENCY OF HUMAN SERVICES DEPARTMENT OF DISABILITIES, AGING AND INDEPENDENT LIVING Division of Licensing and Protection