Healthcare Provider Details

I. General information

NPI: 1851973424
Provider Name (Legal Business Name): BLESSING HANDS OF MAINE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/23/2021
Last Update Date: 04/23/2021
Certification Date: 04/23/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

32 CHICKEN MILL POND RD
GOULDSBORO ME
04607-3216
US

IV. Provider business mailing address

32 CHICKEN MILL POND RD
GOULDSBORO ME
04607-3216
US

V. Phone/Fax

Practice location:
  • Phone: 207-479-0699
  • Fax:
Mailing address:
  • Phone: 207-479-0699
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: DANIELLE E. NELSON
Title or Position: OWNER/ADMINISTRATOR
Credential:
Phone: 207-479-0699