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Organization
PINES HEALTH AND REHABILITATION CENTER
Active
Organization
PINES HEALTH AND REHABILITATION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TRAVIS BERGERON JR. DO (ADMINISTRATOR)
(802) 626-3361
Entity
Organization
Contact information
Practice address
601 RED VILLAGE RD, LYNDONVILLE, VT 05851-9068
(802) 626-3361
Mailing address
601 RED VILLAGE RD, LYNDONVILLE, VT 05851-9068
(802) 626-3361
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0475044
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1225000383
—
VT
Enumeration date
11/07/2007
Last updated
08/26/2025
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