MEDICARE: CORINNE NESS

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	:	1679703789
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CORINNE NESS

Provider Business Mailing Address
First Line	:	21 FOREST HILLS DR
Second Line	:
City	:	LEVANT
State	:	ME
Zip	:	04456-4147
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	21 FOREST HILLS DR
Second Line	:
City	:	LEVANT
State	:	ME
Zip	:	04456-4147
Country	:	US
Telephone Number	:	207-433-0152
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	CORINNE NESS
Credential	:
Telephone Number	:	207-433-0152

Provider Enumeration Date	:	07/23/2009
Last Update Date	:	07/23/2009

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