Healthcare Provider Details

I. General information

NPI: 1083601975
Provider Name (Legal Business Name): FRANKLIN COUNTY REHAB CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2005
Last Update Date: 01/29/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 FAIRFAX RD
SAINT ALBANS VT
05478-6299
US

IV. Provider business mailing address

110 FAIRFAX RD
ST ALBANS VT
05478-6299
US

V. Phone/Fax

Practice location:
  • Phone: 802-752-1600
  • Fax: 802-752-1699
Mailing address:
  • Phone: 802-752-1600
  • Fax: 802-752-1699

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MR. PHILLIP H. CONDON
Title or Position: ADMINISTRATOR
Credential: NHA
Phone: 802-752-1600