NPI | 1326594359 |
---|---|
Former Legal Business Name | VERMONT HOUSECALLS LLC |
Entity Type | Organization |
Authorized Contact | WILLIAM L GOODWIN Owner 802-293-2929 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VT 101.0107976) |
Enumeration Date | 2016-08-30 |
Last Update Date | 2017-05-11 |