Organization
ROBERTA LEAVITT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERTA LEAVITT (OWNER)
(207) 255-8675
Entity
Organization
Contact information
Practice address
2 LYONS DEN RD, NORTHFIELD, ME 04654-6234
(207) 255-8675
Mailing address
2 LYONS DEN RD, NORTHFIELD, ME 04654-6234
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
06/29/2009
Last updated
06/29/2009
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