# EDWARD NORTHAM

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013140953
- **Authorized official:** EDWARD NORTHAM (OWNER)
- **Authorized official phone:** (207) 866-4769

## Contact information

- **Practice address:** 2 AVERILL ST, ORONO, ME 04473-3636
- **Practice address phone:** (207) 866-4769
- **Mailing address:** 2 AVERILL ST, ORONO, ME 04473-3636

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 08/26/2009
- **Last updated:** 08/26/2009