| NPI | 1205016193 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA RUSSELL Administrator 802-525-6600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: VT 1427020585) |
| Enumeration Date | 2007-11-07 |
| Last Update Date | 2007-11-07 |