Organization
HEALTH CARE AND REHABILITATION SERVICES OF SOUTHEASTERN VERMONT, INC.
Active
Organization
HEALTH CARE AND REHABILITATION SERVICES OF SOUTHEASTERN VERMONT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDMUND H. MOORE IV (CHIEF FINANCIAL OFFICER)
(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
251B00000X
Case Management Agency
—
VT
251S00000X
Community/Behavioral Health Agency
Primary
—
VT
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006166
—
VT
Enumeration date
10/27/2006
Last updated
04/02/2019
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