NPI | 1700905627 |
---|---|
Entity Type | Organization |
Authorized Contact | MARY FRANCES PAPPAS Administrator 802-524-5744 |
Organization Subpart ? | No |
Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: VT 0056) |
Enumeration Date | 2007-03-29 |
Last Update Date | 2020-08-22 |