# HEALTH CARE & REHABILITATION SERVICES OF SE VT INC.

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

## Provider details

- **NPI number:** 1356951412
- **Authorized official:** EDMUND H. MOORE IV (CFO)
- **Authorized official phone:** (802) 886-4567

## Contact information

- **Practice address:** 390 RIVER ST, SPRINGFIELD, VT 05156-2226
- **Practice address phone:** (802) 886-4500
- **Practice address fax:** (802) 886-4520
- **Mailing address:** 390 RIVER ST, SPRINGFIELD, VT 05156-2226
- **Mailing address phone:** (802) 886-4500
- **Mailing address fax:** (802) 886-4520

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103K00000X | Behavior Analyst | — | NULL | Yes |
| 103K00000X | Behavior Analyst | — | — | Yes |

## Other

- **Enumeration date:** 08/04/2020
- **Last updated:** 08/18/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0006166 | — | VT |
| 05 | — | 6704507 | — | VT |