Organization Name: | OVERLOOK VISITING NURSE ASSOCIATION, INC. |
NPI Number: | 1033176144 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHRISTOPHER HART (HOSPICE DIRECTOR OF CLINICAL SERVIC) |
Mailing Address: | 88 Masonic Home Rd Charlton |
State: | MA US |
Postal Code: | 015071394 |
Phone Number: | 5084342200 |
Fax Number: | 8889789803 |
NPI Enumeration Date: | 05/01/2006 |
NPI Last Update Date: | 10/07/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | 77AZ |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MA |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |