NPI | 1417958356 |
---|---|
Doing Business As | GILL ODD FELLOWS HOME |
Entity Type | Organization |
Authorized Contact | THERESA C. SOUTHWORTH Nursing Home Administrator 802-228-4571 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility |
Additional Taxonomies | 385H00000X Respite Care |
Enumeration Date | 2005-08-02 |
Last Update Date | 2023-09-06 |