| NPI | 1033532346 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIRANDA I. THAYER Owner 802-868-3903 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: VT 0038) |
| Enumeration Date | 2014-01-23 |
| Last Update Date | 2014-01-23 |