Healthcare Provider Details

I. General information

NPI: 1881697621
Provider Name (Legal Business Name): LEE REGIONAL VISITING NURSE ASSOCIATION, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/24/2005
Last Update Date: 07/23/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

32 PARK STREET
LEE MA
01238
US

IV. Provider business mailing address

32 PARK STREET
LEE MA
01238
US

V. Phone/Fax

Practice location:
  • Phone: 413-243-1212
  • Fax: 413-243-9707
Mailing address:
  • Phone: 413-243-1212
  • Fax: 413-243-9707

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: HOLLY ANN CHAFFEE
Title or Position: CEO
Credential: RN, BSN, MSN
Phone: 413-243-1212