| NPI | 1154405728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA SUSAN GINGRAS Owner/Manager 802-479-9647 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances (Licence: VT 0312) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2020-08-22 |