| NPI | 1942629860 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID W ANDERSON President 802-888-1700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: VT 0154) |
| Enumeration Date | 2014-04-08 |
| Last Update Date | 2014-04-08 |