| NPI | 1619049020 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIRLEY D. SEARS Owner 802-468-3216 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home (Licence: VT 0043) |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2008-08-15 |