| NPI | 1083601975 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILLIP H. CONDON Administrator 802-752-1600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: VT 270000096) |
| Enumeration Date | 2005-10-05 |
| Last Update Date | 2008-01-29 |