Provider Demographics
NPI:1023017209
Name:VISITING NURSES ASSOCIATION OF SOUTHWEST FLORIDA, INC
Entity Type:Organization
Organization Name:VISITING NURSES ASSOCIATION OF SOUTHWEST FLORIDA, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:JILL
Authorized Official - Middle Name:
Authorized Official - Last Name:LAMPLEY
Authorized Official - Suffix:
Authorized Official - Credentials:CFO
Authorized Official - Phone:239-489-9163
Mailing Address - Street 1:9470 HEALTH PARK CIRCLE
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33908
Mailing Address - Country:US
Mailing Address - Phone:239-482-4673
Mailing Address - Fax:239-985-7762
Practice Address - Street 1:9470 HEALTH PARK CIRCLE
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33908
Practice Address - Country:US
Practice Address - Phone:239-482-4673
Practice Address - Fax:239-985-7762
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-19
Last Update Date:2016-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHHA21277096251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLH-37OtherBC/BS
FLH-37OtherBC/BS