NPI 1225000383
Pine Knoll Nursing Home, INC
Practice location
- Address
- 601 Red Village Rd, Lyndonville, VT 05851-9068
- Phone
- (802) 626-3361
- Fax
- (802) 626-4056
Authorised official
- Name
- Travis B Bergeron
- Title
- Director of Operations
- Phone
- (802) 626-3361
Registered specialties
Skilled Nursing Facility
Primary
Registry record
- NPI
- 1225000383
- Entity type
- Organization
- NPI issued
- 3 Feb 2006
- Record last updated
- 27 Aug 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.