| NPI | 1255494522 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE IRENE FORTIER Owner 802-479-1867 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: VT 0381) |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2020-08-22 |