| NPI | 1770657082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONYA SALTIS Manager 802-468-3085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: VT 0164) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2008-05-27 |