| NPI | 1982909917 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD PATTERSON Otr 802-658-4200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: VT 041-0000504) |
| Enumeration Date | 2011-01-23 |
| Last Update Date | 2011-01-23 |