NPI | 1598049454 |
---|---|
Entity Type | Organization |
Authorized Contact | ELA DUPONT Program Manager 802-524-6534 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: VT 040.0080421) |
Enumeration Date | 2011-10-10 |
Last Update Date | 2011-10-10 |