Healthcare Provider Details
I. General information
NPI: 1588205090
Provider Name (Legal Business Name): ALAIMO HEALTH PARTNERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/06/2019
Last Update Date: 10/17/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
56 ELM ST
TOPSHAM ME
04086-1417
US
IV. Provider business mailing address
56 ELM ST
TOPSHAM ME
04086-1417
US
V. Phone/Fax
- Phone: 207-725-1134
- Fax: 866-531-8540
- Phone: 207-725-1134
- Fax: 866-531-8540
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 310400000X |
| Taxonomy | Assisted Living Facility |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 311ZA0620X |
| Taxonomy | Adult Care Home Facility |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
CRAIG
ALAIMO
Title or Position: OWNER/CEO
Credential: ADMINISTRATOR
Phone: 207-725-1134