Provider First Line Business Practice Location Address: 
1110 PRIM ROAD
    Provider Second Line Business Practice Location Address: 
VISITING NURSE ASSOC OF CHITTENDEN & GRAND ISLE CO
    Provider Business Practice Location Address City Name: 
COLCHESTER
    Provider Business Practice Location Address State Name: 
VT
    Provider Business Practice Location Address Postal Code: 
05446
    Provider Business Practice Location Address Country Code: 
US
    Provider Business Practice Location Address Telephone Number: 
802-658-1900
    Provider Business Practice Location Address Fax Number: 
802-860-4454
    Provider Enumeration Date: 
03/26/2007