| NPI | 1366522005 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNNETTE A SMITH Administrator 802-888-8752 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: VT 0270000273) |
| Additional Taxonomies | 251K00000X Public Health or Welfare (Licence: VT 0378) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2011-06-21 |