NPI 1023323037
Wintergreen Residential Care, LLC
Practice location
- Address
- 3 Union St, Brandon, VT 05733-1127
- Phone
- (802) 465-4101
- Mailing address
- PO Box 206, Brandon, VT 05733-0206
Authorised official
- Name
- Mary Jensen
- Title
- Owner/Member
- Phone
- (802) 465-4101
Registered specialties
Respite Care
Primary
Registry record
- NPI
- 1023323037
- Entity type
- Organization
- NPI issued
- 13 Aug 2010
- Record last updated
- 13 Aug 2010
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.