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General NPI Number Information
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NPI Number | 1407339542
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Entity Type | Organization
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Legal Business Name | COMPASSIONATE CARE HOSPICE OF MAINE, LLC
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Dates
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Enumeration Date | 09/14/2018
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Last Update Date | 09/14/2018
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Provider Practice Location Address
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Address Line | 136 US ROUTE 1 STE 114,116,117,117B
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City | SCARBOROUGH
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State | ME
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Zip | 04074
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Country | US
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Telephone | 207-805-8767
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Fax |
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Provider Business Mailing Address
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Address Line | 136 US ROUTE 1 BOX 3
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City | SCARBOROUGH
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State | ME
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Zip | 04074
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Country | US
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Telephone | 207-805-8767
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | JUDITH I GREY
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Credential |
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Telephone | 973-402-4712
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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