| NPI | 1194920488 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD JAMES CHURCH Administrator 802-468-3010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: VT 544) |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2008-06-24 |