Healthcare Provider Details

I. General information

NPI: 1730277260
Provider Name (Legal Business Name): WALDO COUNTY HOME HEALTHCARE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/10/2006
Last Update Date: 01/12/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

125 NORTHPORT AVE SUITE 106
BELFAST ME
04915-6002
US

IV. Provider business mailing address

125 NORTHPORT AVE P.O. BOX 407
BELFAST ME
04915-6002
US

V. Phone/Fax

Practice location:
  • Phone: 207-338-2500
  • Fax: 207-338-9368
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number36441
License Number StateME

VIII. Authorized Official

Name: LINDA B DRINKWATER
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 207-338-2500