Organization
HEALTH CARE & REHABILITATION SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDMUND MOORE (CFO)
(802) 463-3294
Entity
Organization
Contact information
Practice address
14 RIVER ST, WINDSOR, VT 05089-1422
(802) 463-3294
(802) 463-1206
Mailing address
390 RIVER ST, SPRINGFIELD, VT 05156-2226
(802) 886-4567
(802) 886-4520
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
05/30/2007
Last updated
04/02/2019
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