Healthcare Provider Details

I. General information

NPI: 1265433486
Provider Name (Legal Business Name): CARE & COMFORT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2005
Last Update Date: 11/15/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

180 MAIN ST
WATERVILLE ME
04901-6666
US

IV. Provider business mailing address

180 MAIN ST
WATERVILLE ME
04901-6666
US

V. Phone/Fax

Practice location:
  • Phone: 207-872-5300
  • Fax: 207-873-6612
Mailing address:
  • Phone: 207-872-5300
  • Fax: 207-873-6612

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: SUSAN GIGUERE
Title or Position: ADMINISTRATOR
Credential:
Phone: 207-872-5300