| NPI | 1336527423 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | J MICHAEL RIVERS Administrator 802-257-0307 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: VT 0720070579) |
| Enumeration Date | 2015-05-11 |
| Last Update Date | 2015-05-11 |