Organization
HOMECARE BY PAULETT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDRE WAYNE FORRESTER (CEO)
(347) 668-6122
Entity
Organization
Contact information
Practice address
696 WESTBROOK ST, APT 3I, SOUTH PORTLAND, ME 04106-1957
(134) 766-8612
Mailing address
696 WESTBROOK ST, APT 3I, SOUTH PORTLAND, ME 04106
(134) 766-8612
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
NONE
ME
Other
Enumeration date
03/25/2011
Last updated
03/25/2011
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