| NPI | 1013928068 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL K COSTA CEO 802-728-2211 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 275N00000X Medicare Defined Swing Bed Unit (Licence: VT 669) |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2025-07-01 |