Organization
GOOD SAMARITAN AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBORAH A GIGUERE L.S.W. (EXECUTIVE DIRECTOR)
(207) 942-7211
Entity
Organization
Contact information
Practice address
100 RIDGEWOOD DR, BANGOR, ME 04401-2652
(207) 942-7211
(207) 990-0851
Mailing address
100 RIDGEWOOD DR, BANGOR, ME 04401-2652
(207) 942-7211
(207) 990-0851
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
LS1479
ME
251B00000X
Case Management Agency
LS5190
ME
251B00000X
Case Management Agency
Primary
LS5224
ME
251B00000X
Case Management Agency
LS6833
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101800100
—
ME
Enumeration date
04/22/2009
Last updated
04/22/2009
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