Provider Demographics
NPI:1265438378
Name:DORSET NURSING ASSOCIATION, INC.
Entity type:Organization
Organization Name:DORSET NURSING ASSOCIATION, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:PHYLLIS
Authorized Official - Middle Name:L
Authorized Official - Last Name:TARBELL
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN
Authorized Official - Phone:802-362-1200
Mailing Address - Street 1:PO BOX 549
Mailing Address - Street 2:
Mailing Address - City:DORSET
Mailing Address - State:VT
Mailing Address - Zip Code:05251-0549
Mailing Address - Country:US
Mailing Address - Phone:802-362-1200
Mailing Address - Fax:802-362-1412
Practice Address - Street 1:909 RTE 30
Practice Address - Street 2:
Practice Address - City:DORSET
Practice Address - State:VT
Practice Address - Zip Code:05251-9661
Practice Address - Country:US
Practice Address - Phone:802-362-1200
Practice Address - Fax:802-362-1412
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VTN/A251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health