Organization
MICHEAL DESPLAINES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHEAL DESPLAINES (OWNER)
(207) 868-5145
Entity
Organization
Contact information
Practice address
113 ST FRANCIS ST, VAN BUREN, ME 04785-1071
(207) 868-5145
Mailing address
113 ST FRANCIS ST, VAN BUREN, ME 04785-1071
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
07/07/2009
Last updated
07/07/2009
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