# MARTHAS VINEYARD COMMUNITY SERVICES, INC DBA VISITING NURSE SERVICE

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

## Provider details

- **NPI number:** 1720081912
- **Authorized official:** MS. JULIA BURGESS (CEO)
- **Authorized official phone:** (508) 693-7900

## Contact information

- **Practice address:** 111 EDGARTOWN VINEYARD HAVEN ROAD, OAK BLUFFS, MA 02557
- **Practice address phone:** (508) 693-7900
- **Practice address fax:** (508) 693-6669
- **Mailing address:** 111 EDGARTOWN RD, VINEYARD HAVEN, MA 02568-5601
- **Mailing address phone:** (508) 693-7900
- **Mailing address fax:** (508) 693-6669

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 005601 | MA | Yes |

## Other

- **Enumeration date:** 05/23/2005
- **Last updated:** 03/05/2014
