NPI 1891495263
Life Intervention Team
Practice location
- Address
- 257 S Main St, Rutland, VT 05701-4905
- Phone
- (802) 342-1062
- Fax
- (802) 419-9351
Authorised official
- Name
- Nicole Edwards
- Title
- Employee
- Phone
- (802) 342-1062
Registered specialties (6)
In Home Supportive Care Agency
Primary
Lodging Provider
Home Health Agency
Community/Behavioral Health Agency
Voluntary or Charitable Agency
Private Vehicle
Registry record
- NPI
- 1891495263
- Entity type
- Organization
- NPI issued
- 6 Mar 2023
- Record last updated
- 22 Aug 2023
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.