Organization
EDWARD NORTHAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD NORTHAM (OWNER)
(207) 866-4769
Entity
Organization
Contact information
Practice address
2 AVERILL ST, ORONO, ME 04473-3636
(207) 866-4769
Mailing address
2 AVERILL ST, ORONO, ME 04473-3636
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
08/26/2009
Last updated
08/26/2009
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