| 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 |