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Organization

AMERICOAST MAINE LLC

Active
Parent organization
COMMUNITY CARE HOLDINGS LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
COMMUNITY CARE HOLDINGS LLC
Authorized official
ELIZABETH ANN WATTS-GORMLEY (VICE PRESIDENT)
(716) 568-2236
Entity
Organization

Contact information

Practice address
214 W MAIN ST STE 102, FORT KENT, ME 04743-1119
(207) 834-9094
(207) 834-9097
Mailing address
214 W MAIN ST STE 102, FORT KENT, ME 04743-1119
(207) 834-9094
(207) 834-9097

Taxonomy

Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary

Other

Enumeration date
08/29/2012
Last updated
10/09/2012
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