Provider Demographics
NPI:1760261721
Name:LAKES REGION VISITING NURSE ASSOCIATION
Entity Type:Organization
Organization Name:LAKES REGION VISITING NURSE ASSOCIATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FINANCE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:ELLIARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-279-6611
Mailing Address - Street 1:186 WAUKEWAN ST
Mailing Address - Street 2:
Mailing Address - City:MEREDITH
Mailing Address - State:NH
Mailing Address - Zip Code:03253-6023
Mailing Address - Country:US
Mailing Address - Phone:603-279-6611
Mailing Address - Fax:844-412-7881
Practice Address - Street 1:186 WAUKEWAN ST
Practice Address - Street 2:
Practice Address - City:MEREDITH
Practice Address - State:NH
Practice Address - Zip Code:03253-6023
Practice Address - Country:US
Practice Address - Phone:603-279-6611
Practice Address - Fax:844-412-7881
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LAKES REGION VISITING NURSE ASSOCIATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-09-27
Last Update Date:2023-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health