# PLYMOUTH VISITING NURSE ASSOCIATION

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

## Provider details

- **NPI number:** 1699887737
- **Authorized official:** JUDITH BLANCHET R.N. (ADMINISTRATIVE SUPERVISOR)
- **Authorized official phone:** (860) 585-4026

## Contact information

- **Practice address:** 244 MAIN ST, TERRYVILLE, CT 06786-5901
- **Practice address phone:** (860) 585-4026
- **Practice address fax:** (860) 585-4063
- **Mailing address:** 244 MAIN ST, TERRYVILLE, CT 06786-5901
- **Mailing address phone:** (860) 585-4026
- **Mailing address fax:** (860) 585-4063

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | C81911 | CT | Yes |

## Other

- **Enumeration date:** 08/31/2006
- **Last updated:** 08/22/2020