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General NPI Number Information
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NPI Number | 1639093289
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Entity Type | Organization
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Legal Business Name | VACATIONLAND CARE GROUP, LLC
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Dates
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Enumeration Date | 08/06/2026
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Last Update Date | 08/06/2026
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Provider Practice Location Address
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Address Line | 500 US ROUTE 1 STE 105
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City | YARMOUTH
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State | ME
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Zip | 04096-6831
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Country | US
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Telephone | 207-414-1313
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Fax |
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Provider Business Mailing Address
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Address Line | 500 ROUTE 1 STE 105
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City | YARMOUTH
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State | ME
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Zip | 04096-6831
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Country | US
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Telephone | 207-414-1313
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Fax |
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Authorized Official
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Title or Position | OWNER/ PRESIDENT
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Name | MRS. KATHLEEN REDFIELD
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Credential |
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Telephone | 207-414-1313
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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