Organization
OVERLOOK VISITING NURSE ASSOCIATION, INC.
Active
Other names
Overlook Home Health, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE FULLER RN (REGIONAL ADMINISTRATOR)
(508) 434-2480
Entity
Organization
Contact information
Practice address
88 MASONIC HOME RD, CHARLTON, MA 01507-1394
(508) 434-2440
(888) 978-9808
Mailing address
88 MASONIC HOME RD, CHARLTON, MA 01507-1394
(800) 990-7642
(888) 978-9808
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0607576
—
MA
01
—
120443
BLUECROSS BLUESHEILD
MA
01
—
22D0974028
CLIA
MA
Enumeration date
12/01/2005
Last updated
10/05/2015
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