Wintergreen Residential Care, LLC

NPI #1023323037 in Brandon, Vermont

Provider Information

NPI Number: 1023323037
Entity Type: Organization
Organization Name: Wintergreen Residential Care, LLC
Primary Specialty: Respite Care
Enumeration Date: Aug 13, 2010
Last Updated: Aug 13, 2010

Practice Location

Address: 3 UNION ST
City: Brandon
State: Vermont
ZIP Code: 05733-1127
Phone: (802) 465-4101

Authorized Official

Name: MARY JENSEN
Title: OWNER/MEMBER
Phone: (802) 465-4101

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Respite Care	385H00000X	Primary

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