# PROFESSIONAL HOME CARE SPECIALISTS LLC

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

## Provider details

- **NPI number:** 1306201827
- **Authorized official:** MR. RANDOLPH S MICHAUD (FINANCIAL OFFICER)
- **Authorized official phone:** (207) 764-3866

## Contact information

- **Practice address:** 1086 MAPLETON RD, MAPLETON, ME 04757-4508
- **Practice address phone:** (207) 764-3866
- **Mailing address:** 1086 MAPLETON RD, MAPLETON, ME 04757-4508
- **Mailing address phone:** (207) 764-3866

## Taxonomy

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

## Other

- **Enumeration date:** 12/29/2015
- **Last updated:** 09/20/2019