Organization
MARTHAS VINEYARD COMMUNITY SERVICES, INC DBA VISITING NURSE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JULIA BURGESS (CEO)
(508) 693-7900
Entity
Organization
Contact information
Practice address
111 EDGARTOWN VINEYARD HAVEN ROAD, OAK BLUFFS, MA 02557
(508) 693-7900
(508) 693-6669
Mailing address
111 EDGARTOWN RD, VINEYARD HAVEN, MA 02568-5601
(508) 693-7900
(508) 693-6669
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
005601
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0601845
—
MA
01
—
120125
BLUE CROSS
MA
01
—
704411
HARVARD PILGRIM HEALTH CA
MA
Enumeration date
05/23/2005
Last updated
03/05/2014
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