Healthcare Provider Details

I. General information

NPI: 1235680133
Provider Name (Legal Business Name): THE VILLA REHAB CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/17/2016
Last Update Date: 03/16/2023
Certification Date: 03/16/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 FOREST HILL DR
SAINT ALBANS VT
05478-1615
US

IV. Provider business mailing address

7 FOREST HILL DR
SAINT ALBANS VT
05478-1615
US

V. Phone/Fax

Practice location:
  • Phone: 802-524-3498
  • Fax:
Mailing address:
  • Phone: 802-524-3498
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: MRS. COLEEN CONDON
Title or Position: OWNER
Credential: NHA
Phone: 802-524-3498