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Organization
LEDGER HOME
Active
Organization
LEDGER HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DAWN PORTER (WAIVER HOME PROVIDER)
(207) 532-6254
Entity
Organization
Contact information
Practice address
1256 US ROUTE ONE, AMITY, ME 04471-5228
(207) 532-6254
Mailing address
1256 US ROUTE ONE, AMITY, ME 04471-5228
(207) 532-6254
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
NONE
NULL
Other
Enumeration date
01/15/2009
Last updated
04/16/2009
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