| NPI | 1508997487 |
|---|---|
| Other Name | MAYO MANOR |
| Entity Type | Organization |
| Authorized Contact | LOIS A LUSIGNAN Business Manager 802-485-3161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home (Licence: VI 0199) |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2020-08-22 |