Organization
PORTLAND VISITING NURSE ASSOCIATION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BARRY M SIMON (EXECUTIVE DIRECTOR)
(860) 343-5300
Entity
Organization
Contact information
Practice address
309 MAIN ST, PORTLAND, CT 06480-1856
(860) 342-3300
(860) 342-4864
Mailing address
222 MAIN STREET EXT, P.O. BOX 1000, MIDDLETOWN, CT 06457-4406
(860) 343-5300
(860) 343-5306
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
C804910
CT
Other
Enumeration date
11/10/2005
Last updated
08/22/2020
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