Organization
TRACY BERRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY BERRY (OWNER)
(207) 454-7972
Entity
Organization
Contact information
Practice address
1288 AIRLINE RD, ALEXANDER, ME 04694-6107
(207) 454-7972
Mailing address
1288 AIRLINE RD, ALEXANDER, ME 04694-6107
(207) 454-7972
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
07/22/2009
Last updated
07/22/2009
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