Organization
HEALTH CARE AND REHABILITATION SERVICES OF SE VT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDMUND MOORE (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
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006166
—
VT
Enumeration date
05/09/2019
Last updated
05/09/2019
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