# JOHN GRAHAM SHELTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417348509
- **Authorized official:** MS. ELIZABETH MARY READY (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (802) 989-2581

## Contact information

- **Practice address:** 69 MAIN ST, VERGENNES, VT 05491-1114
- **Practice address phone:** (802) 877-2677
- **Mailing address:** 69 MAIN ST, VERGENNES, VT 05491-1114
- **Mailing address phone:** (802) 877-2677

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | 068.0099058 | VT | Yes |

## Other

- **Enumeration date:** 02/10/2015
- **Last updated:** 02/10/2015
