Organization
LAKES REGION VISITING NURSE ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHERYL A GONZALO RN (EXECUTIVE DIRECTOR)
(603) 279-6611
Entity
Organization
Contact information
Practice address
186 WAUKEWAN ST, MEREDITH, NH 03253-6023
(603) 279-6611
(603) 279-2256
Mailing address
186 WAUKEWAN ST, MEREDITH, NH 03253-6023
(603) 279-6611
(603) 279-2256
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
02708
NH
251E00000X
Home Health Agency
Primary
03714
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3078140
MEDICAID HCBC
NH
05
—
3078971
—
NH
01
—
7HK
ANTHEM BLUE CROSS
NH
Enumeration date
07/20/2005
Last updated
05/03/2016
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