NPI | 1528185360 |
---|---|
Entity Type | Organization |
Authorized Contact | LANCE W. COMFORT Executive Director 802-586-2414 |
Organization Subpart ? | No |
Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home (Licence: VT 0292) |
Enumeration Date | 2007-03-26 |
Last Update Date | 2020-08-22 |