OrganizationActive
Life Intervention Team
NPI 1891495263 · In Home Supportive Care Agency · Rutland, VT
Provider details
- NPI number
- 1891495263
- Entity type
- Organization
- Primary specialty
- In Home Supportive Care AgencyAgencies
- Organization subpart
- No
- Authorized official
- Nicole Edwards, Employee(802) 342-1062
Specialties & taxonomies
Agencies
- Lodging Provider177F00000X
Other Service Providers
- Home Health Agency251E00000X
Agencies
- Community/Behavioral Health Agency251S00000X
Agencies
- Voluntary or Charitable Agency251V00000X
Agencies
- Private Vehicle347C00000X
Transportation Services
Practice location
257 S Main St
Rutland, VT 05701-4905
Phone: (802) 342-1062
Fax: (802) 419-9351
Approximate (ZIP-level) locationGet directions
Mailing address
257 S Main St
Rutland, VT 05701-4905
Registry dates
- Enumerated
- 2023-03-06
- Last updated
- 2023-08-22
- Certified
- 2023-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.