NPI | 1821141979 |
---|---|
Doing Business As | ADDISON HOUSE |
Entity Type | Organization |
Authorized Contact | MARCIA S WHEELER President 802-388-4269 |
Organization Subpart ? | No |
Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: VT 0033) |
Enumeration Date | 2007-01-20 |
Last Update Date | 2020-08-22 |