| NPI | 1518365485 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA L EGBERT Owner/Manager 802-449-3076 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: VT 0618) |
| Enumeration Date | 2014-12-09 |
| Last Update Date | 2014-12-09 |