Provider Demographics
NPI:1033488226
Name:SAVOY VNA LLC
Entity Type:Organization
Organization Name:SAVOY VNA LLC
Other - Org Name:SAVOY VNA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:DIDIE
Authorized Official - Middle Name:
Authorized Official - Last Name:WATSOP
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:508-423-0300
Mailing Address - Street 1:402 COUNTRY CLUB WAY
Mailing Address - Street 2:
Mailing Address - City:KINGSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02364-4110
Mailing Address - Country:US
Mailing Address - Phone:508-423-0300
Mailing Address - Fax:
Practice Address - Street 1:402 COUNTRY CLUB WAY
Practice Address - Street 2:
Practice Address - City:KINGSTON
Practice Address - State:MA
Practice Address - Zip Code:02364-4110
Practice Address - Country:US
Practice Address - Phone:508-423-0300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-19
Last Update Date:2011-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health