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Organization
JACK COFFEY
Active
Organization
JACK COFFEY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACK COFFEY (OWNER)
(207) 985-4940
Entity
Organization
Contact information
Practice address
113 LIMERICK RD, ARUNDEL, ME 04046-8129
(207) 985-4940
Mailing address
113 LIMERICK RD, ARUNDEL, ME 04046-8129
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
Other
Enumeration date
08/11/2009
Last updated
08/11/2009
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