Healthcare Provider Details
I. General information
NPI: 1487892915
Provider Name (Legal Business Name): GROWING OPPORTUNITIES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/21/2009
Last Update Date: 01/21/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
14 PARIS ST SUITE 2
NORWAY ME
04268-5632
US
IV. Provider business mailing address
14 PARIS ST SUITE 2
NORWAY ME
04268-5632
US
V. Phone/Fax
- Phone: 207-743-0957
- Fax: 207-743-7824
- Phone: 207-743-0957
- Fax: 207-743-7824
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 253Z00000X |
| Taxonomy | In Home Supportive Care Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
RHONDA
JUNEAU
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 207-743-0957