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Organization
PINE KNOLL NURSING HOME, INC
Active
Organization
PINE KNOLL NURSING HOME, INC
Active
Other names
Pines Rehabilitation & Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TRAVIS B BERGERON (DIRECTOR OF OPERATIONS)
(802) 626-3361
Entity
Organization
Contact information
Practice address
601 RED VILLAGE RD, LYNDONVILLE, VT 05851-9068
(802) 626-3361
(802) 626-4056
Mailing address
601 RED VILLAGE RD, LYNDONVILLE, VT 05851-9068
(802) 626-3361
(802) 626-4056
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0475044
—
VT
Enumeration date
02/03/2006
Last updated
08/27/2025
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