| NPI | 1124027503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARET PERRY Administrator 802-463-4387 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2020-08-22 |