NPI | 1538282140 |
---|---|
Doing Business As | BLUE SPRUCE DEVELOPMENT HOME |
Entity Type | Organization |
Authorized Contact | SHARON SYLVESTER Owner 802-222-5332 |
Organization Subpart ? | No |
Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: VT 0194) |
Enumeration Date | 2007-04-09 |
Last Update Date | 2008-06-20 |