Organization
JEREMY BAKER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY BAKER (OWNER)
(207) 583-4321
Entity
Organization
Contact information
Practice address
368 PASSACONAWAY ROAD, WATERFORD, ME 04088
(207) 583-4321
Mailing address
PO BOX 207, WATERFORD, ME 04088-0207
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
07/01/2009
Last updated
07/01/2009
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