- Enrollment id
- O20180316001417
- Enrollment state
- MA
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1699948166
- Multiple npi flag
- N
- Ccn
- 221588
- Associate id
- 1153322318
- Organization name
- MEDFORD VISITING NURSING ASSOCIATION
- Doing business as name
- VISITING NURSE & COMMUNITY CARE
- Incorporation date
- 1910-05-23
- Incorporation state
- MA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- N
- Address line 1
- 37 BROADWAY
- Address line 2
- STE 2
- City
- ARLINGTON
- State
- MA
- Zip code
- 024745552