| NPI | 1356578611 |
|---|---|
| Doing Business As | LINCOLN STREET |
| Entity Type | Organization |
| Authorized Contact | HARRIET DAVIS Executive Director 802-476-3283 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2009-06-15 |
| Last Update Date | 2009-06-15 |