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 |