NPI | 1619091337 |
---|---|
Entity Type | Organization |
Authorized Contact | MARY LOUISE SAYLES Owner 802-674-6609 |
Organization Subpart ? | No |
Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility |
Additional Taxonomies | 385H00000X Respite Care |
Enumeration Date | 2007-03-19 |
Last Update Date | 2020-08-22 |