Provider Demographics
NPI:1831649490
Name:WALPOLE AREA VISITING NURSE ASSOCIATION, INC
Entity Type:Organization
Organization Name:WALPOLE AREA VISITING NURSE ASSOCIATION, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ELAINE
Authorized Official - Middle Name:
Authorized Official - Last Name:STEPHENS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-668-1066
Mailing Address - Street 1:55 WEST ST
Mailing Address - Street 2:P.O. BOX 252
Mailing Address - City:WALPOLE
Mailing Address - State:MA
Mailing Address - Zip Code:02081-1837
Mailing Address - Country:US
Mailing Address - Phone:508-668-1066
Mailing Address - Fax:508-668-1057
Practice Address - Street 1:55 WEST ST
Practice Address - Street 2:
Practice Address - City:WALPOLE
Practice Address - State:MA
Practice Address - Zip Code:02081-1837
Practice Address - Country:US
Practice Address - Phone:508-668-1066
Practice Address - Fax:508-668-1057
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-07
Last Update Date:2016-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health