Healthcare Provider Details

I. General information

NPI: 1518964329
Provider Name (Legal Business Name): VISITING NURSE ASSOCIATION OF MIDDLESEX EAST INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2005
Last Update Date: 01/11/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

607 NORTH AVE STE 17
WAKEFIELD MA
01880-1322
US

IV. Provider business mailing address

607 NORTH AVE STE 17
WAKEFIELD MA
01880-1322
US

V. Phone/Fax

Practice location:
  • Phone: 781-224-3399
  • Fax: 781-224-3406
Mailing address:
  • Phone: 781-224-3399
  • Fax: 781-224-3406

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MR. LAWRENCE A LASPESA
Title or Position: CFO
Credential:
Phone: 781-224-3399