| Organization Name: | VISITING NURSE ASSOCIATION OF WALLINGFORD, INC. |
| NPI Number: | 1083927164 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ELLEN S. PHILLIPS (EXECUTIVE DIRECTOR) |
| Mailing Address: | 135 N Plains Industrial Rd Wallingford |
| State: | CT US |
| Postal Code: | 064922332 |
| Phone Number: | 2032691475 |
| Fax Number: | 2032655357 |
| NPI Enumeration Date: | 07/19/2010 |
| NPI Last Update Date: | 10/04/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM0801X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CT |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Mental Health (Including Community Mental Health Center) |
| Taxonomy Definition: | |