Organization
HEALTH CARE & REHABILITATION SERVICES OF SE VT INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDMUND H. MOORE IV (CFO)
(802) 886-4567
Entity
Organization
Contact information
Practice address
390 RIVER ST, SPRINGFIELD, VT 05156-2226
(802) 886-4500
(802) 886-4520
Mailing address
390 RIVER ST, SPRINGFIELD, VT 05156-2226
(802) 886-4500
(802) 886-4520
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006166
—
VT
05
—
6704507
—
VT
Enumeration date
08/04/2020
Last updated
08/18/2020
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