# NORTHERN VISTA ESTATE SERVICES

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

## Provider details

- **NPI number:** 1982093571
- **Authorized official:** MR. GERRY MCCANN (DIRECTOR)
- **Authorized official phone:** (207) 836-2173

## Contact information

- **Practice address:** 791 NORTH RD, BETHEL, ME 04217-3212
- **Practice address phone:** (207) 836-2173
- **Mailing address:** 791 NORTH RD, BETHEL, ME 04217-3212
- **Mailing address phone:** (207) 836-2173

## Taxonomy

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

## Other

- **Enumeration date:** 01/20/2015
- **Last updated:** 01/20/2015