| NPI | 1437272085 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA E CLARK Owner 802-888-1700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home (Licence: VT 0370) |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2007-09-11 |