Organization
SMMC VISITING NURSES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELAINE M BRADY MHSA (EXECUTIVE DIRECTOR)
(207) 985-1000
Entity
Organization
Contact information
Practice address
72 MAIN ST, KENNEBUNK, ME 04043
(207) 985-1000
(207) 985-0237
Mailing address
P.O. BOX 739, KENNEBUNK, ME 04043
(207) 985-1000
(207) 985-0237
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
02701
ME
251J00000X
Nursing Care Agency
02701
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101840000
—
ME
Enumeration date
08/01/2005
Last updated
01/04/2011
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