| NPI | 1912053794 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH L BROWN Enrollment Specialist 802-334-3210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 275N00000X Medicare Defined Swing Bed Unit (Licence: VT 688) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2023-09-12 |