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1023323037
WINTERGREEN RESIDENTIAL CARE, LLC
BRANDON, VT
NPI
1023323037
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Entity Type
Organization
Authorized Contact
MARY JENSEN
Owner/Member
802-465-4101
Organization Subpart ?
No
Primary Taxonomy
385H00000X Respite Care
Enumeration Date
2010-08-13
Last Update Date
2010-08-13
Business Address
WINTERGREEN RESIDENTIAL CARE, LLC
3 UNION ST
BRANDON, VT 05733-1127
Phone number: 802-465-4101
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Mailing Address
WINTERGREEN RESIDENTIAL CARE, LLC
PO BOX 206
BRANDON, VT 05733-0206
Phone number: 802-465-4101
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