Organization
VNA NORTHWEST, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY DEMING (EXECUTIVE DIRECTOR)
(860) 567-6000
Entity
Organization
Contact information
Practice address
607 BANTAM RD UNIT F, BANTAM, CT 06750-1601
(860) 567-6000
(860) 567-6012
Mailing address
607 BANTAM RD, P.O. BOX 1867, BANTAM, CT 06750-1601
(860) 567-6000
(860) 567-6012
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
C805010
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004042735
—
CT
Enumeration date
08/08/2006
Last updated
04/02/2012
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