Healthcare Provider Details
I. General information
NPI: 1679577522
Provider Name (Legal Business Name): SEACOAST VISITING NURSE ASSOCIATION, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/09/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
29 LAFAYETTE RD
NORTH HAMPTON NH
03862-2436
US
IV. Provider business mailing address
29 LAFAYETTE RD
NORTH HAMPTON NH
03862-2436
US
V. Phone/Fax
- Phone: 603-926-2066
- Fax: 603-964-8768
- Phone: 603-926-2066
- Fax: 603-964-8768
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | 01301 |
| License Number State | NH |
VIII. Authorized Official
Name: MRS.
MARGARET
M
BURKE
Title or Position: EXECUTIVE DIRECTOR
Credential: MS
Phone: 603-926-2066