| NPI | 1265645097 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE J ROONEY Manager 802-468-5357 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311Z00000X Custodial Care Facility (Licence: VT 382) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2020-08-22 |