Organization
KONSTATIN KIYANITSA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KONSTATIN KIYANITSA (OWNER)
(207) 854-4749
Entity
Organization
Contact information
Practice address
10 PROSPECT ST APT 63, WESTBROOK, ME 04092-3970
(207) 854-4749
Mailing address
10 PROSPECT ST APT 63, WESTBROOK, ME 04092-3970
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
07/16/2009
Last updated
07/16/2009
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