Organization
RAYMOND GREENLEAF
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAYMOND GREENLEAF (OWNER)
(207) 797-6142
Entity
Organization
Contact information
Practice address
246 AUBURN ST APT 153, PORTLAND, ME 04103-2166
(207) 797-6142
Mailing address
246 AUBURN ST APT 153, PORTLAND, ME 04103-2166
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
06/30/2009
Last updated
06/30/2009
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