| NPI | 1932284395 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORRAINE M. TOMLINSON Business Manager 802-862-0401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home (Licence: VT 121) |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2020-08-22 |