| NPI | 1437781887 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN ALFRED DONELSON Office Manager 802-753-7112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 174200000X |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 385H00000X Respite Care | |
| Enumeration Date | 2020-02-04 |
| Last Update Date | 2020-02-04 |