MEDICARE: MAPLE MARSH HOME CARE INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1114576980
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MAPLE MARSH HOME CARE INC

Provider Business Mailing Address
First Line	:	365 CUSHING RD
Second Line	:
City	:	CUSHING
State	:	ME
Zip	:	04563-3118
Country	:	US
Telephone Number	:	207-354-5429
Fax Number	:

Provider Business Practice Location Address
First Line	:	365 CUSHING RD
Second Line	:
City	:	CUSHING
State	:	ME
Zip	:	04563-3118
Country	:	US
Telephone Number	:	207-354-5429
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MARCIA VAN BUSKIRK
Credential	:
Telephone Number	:	207-691-3531

Provider Enumeration Date	:	09/05/2019
Last Update Date	:	05/27/2022

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Directions to “MAPLE MARSH HOME CARE INC ” Practice Location

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