| 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 |