Professional Home Care Specialists LLC
In Home Supportive Care in Mapleton, ME. Organization (NPI-2).
NPI number1306201827
StatusActive
Last updated in NPPESSep 20, 2019
Details
- NPI
- 1306201827
- Entity type
- Organization (NPI-2)
- Legal business name
- Professional Home Care Specialists LLC
- Organization subpart
- No
- Enumeration date
- Dec 29, 2015
- Last updated
- Sep 20, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 253Z00000X | In Home Supportive Care | – | – | Yes |
Practice location
1086 Mapleton RdMapleton, ME 04757-4508
Phone 207-764-3866
Mailing address
1086 Mapleton RdMapleton, ME 04757-4508
Phone 207-764-3866
Authorized official
Randolph S Michaud
Financial Officer
2077643866
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