| NPI | 1720511165 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE LOUISE CAVANAUGH Physical Therapist Assistant 508-238-6608 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: VT 2173) |
| Enumeration Date | 2017-04-04 |
| Last Update Date | 2017-04-04 |