NPI | 1457573545 |
---|---|
Entity Type | Organization |
Authorized Contact | TERESA MERRILL Co Owner 802-244-6403 |
Organization Subpart ? | No |
Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home (Licence: VT 0154) |
Enumeration Date | 2007-05-02 |
Last Update Date | 2020-08-22 |