# SOUTHCOAST VISITING NURSE ASSOCIATION. INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104937697
- **Authorized official:** FERNANDA JOHNSON PT, DPT (PRESIDENT/CEO)
- **Authorized official phone:** (508) 973-3200

## Contact information

- **Practice address:** 200 MILL ROAD, SUITE 120, FAIRHAVEN, MA 02719
- **Practice address phone:** (508) 973-3210
- **Practice address fax:** (508) 973-3215
- **Mailing address:** 200 MILL RD STE 120, FAIRHAVEN, MA 02719-5252
- **Mailing address phone:** (508) 973-3200
- **Mailing address fax:** (508) 973-3215

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 2211 | RI | Yes |

## Other

- **Enumeration date:** 08/31/2006
- **Last updated:** 11/05/2025