Organization
LEDYARD REGIONAL VISITING NURSE AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KAREN GOETCHIUS MSN, RN, CHCE (ADMINISTRATIVE SUPERVISOR)
(860) 464-8464
Entity
Organization
Contact information
Practice address
741 COLONEL LEDYARD HWY, LEDYARD, CT 06339-1511
(860) 464-8464
(860) 464-7605
Mailing address
741 COLONEL LEDYARD HWY, LEDYARD, CT 06339-1511
(860) 464-8464
(860) 464-7605
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
C81731
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4042909
—
CT
01
—
620
ANTHEM BC PROVIDER #
CT
01
—
OV9961
HEALTHNET PROVIDER #
CT
Enumeration date
01/11/2006
Last updated
07/14/2008
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