# NORTHERN MAINE GENERAL

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

## Provider details

- **NPI number:** 1679712855
- **Authorized official:** MR. REYNOLD RAYMOND (CEO)
- **Authorized official phone:** (207) 444-5152

## Contact information

- **Practice address:** 3388 AROOSTOOK ROAD, EAGLE LAKE, ME 04739-0310
- **Practice address phone:** (207) 444-5152
- **Practice address fax:** (207) 444-6099
- **Mailing address:** 3388 AROOSTOOK ROAD, EAGLE LAKE, ME 04739-0310
- **Mailing address phone:** (207) 444-5152
- **Mailing address fax:** (207) 444-6099

## Taxonomy

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

## Other

- **Enumeration date:** 02/12/2009
- **Last updated:** 02/12/2009