Organization
HEALTH CARE AND REHABILITATION SERVICES OF SE VT
Active
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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