| NPI | 1841417771 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MISTIE LYNN MONFREDA Billing Manager 802-655-7111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: VT does not license) |
| Additional Taxonomies | 251E00000X Home Health (Licence: VT does not license) |
| 251J00000X Nursing Care (Licence: VT does not license) | |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2020-08-22 |