Healthcare Provider Details

I. General information

NPI: 1780689521
Provider Name (Legal Business Name): AUBURN VNA HEALTH NETWORK, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2005
Last Update Date: 05/07/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

191 PAKACHOAG ST.
AUBURN MA
01501
US

IV. Provider business mailing address

191 PAKACHOAG ST.
AUBURN MA
01501
US

V. Phone/Fax

Practice location:
  • Phone: 508-791-0081
  • Fax: 508-791-0155
Mailing address:
  • Phone: 508-791-0081
  • Fax: 508-791-0155

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: KIMBERLY HARMON
Title or Position: PRESIDENT/CEO
Credential: RN
Phone: 508-791-0081