Organization
VISITING NURSES OF THE LOWER VALLEY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN MAXWELL (EXECUTIVE DIRECTOR)
(860) 767-0186
Entity
Organization
Contact information
Practice address
61 MAIN ST, 5, CENTERBROOK, CT 06409-1070
(860) 767-0186
(860) 767-8383
Mailing address
61 MAIN ST, 5, CENTERBROOK, CT 06409-1070
(860) 767-0186
(860) 767-8383
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
C80114
CT
251E00000X
Home Health Agency
Primary
C80114
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004073359
CHC PERFORMING PROVIDER
CT
05
—
4043022
—
CT
01
—
C80114
LICENSURE
CT
Enumeration date
08/01/2006
Last updated
10/01/2024
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