| NPI | 1093115651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: VT 041.0000521) |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: NH 041.0000521) |
| 261Q00000X Clinic/Center (Licence: VT 041/0000521) | |
| 282N00000X General Acute Care Hospital (Licence: NH 041.0000521) | |
| 310400000X Assisted Living Facility (Licence: VT 041.0000521) | |
| 311Z00000X Custodial Care Facility (Licence: VT 041.0000521) | |
| 314000000X Skilled Nursing Facility (Licence: NH 041.0000521) | |
| 314000000X Skilled Nursing Facility (Licence: VT 041.0000521) | |
| Enumeration Date | 2014-09-01 |
| Last Update Date | 2014-09-01 |