| Organization Name: | CARLOS G. OTIS HEALTH CARE CENTER, INC. |
| NPI Number: | 1124049960 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ELAINE SWIFT (QUALITY/CREDENTIALING DIRECTOR) |
| Mailing Address: | 185 Grafton Rd. Townshend |
| State: | VT US |
| Postal Code: | 05353 |
| Phone Number: | 8023654331 |
| Fax Number: | |
| NPI Enumeration Date: | 07/21/2006 |
| NPI Last Update Date: | 12/29/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR1300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rural Health |
| Taxonomy Definition: | |