# MASON DOUGLAS JIPSON

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- **Entity:** Organization
- **Status:** Active
- **Other names:** BOLD COAST HOME CARE AGENCY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861268989
- **Authorized official:** MASON DOUGLAS JIPSON (OWNER)
- **Authorized official phone:** (207) 598-0439

## Contact information

- **Practice address:** 19 EVERGREEN LN, MILBRIDGE, ME 04658-3624
- **Practice address phone:** (207) 598-0439
- **Mailing address:** 19 EVERGREEN LN, MILBRIDGE, ME 04658-3624
- **Mailing address phone:** (207) 598-0439

## Taxonomy

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

## Other

- **Enumeration date:** 11/29/2023
- **Last updated:** 11/29/2023