Organization
JEFFREY MALLOY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY MALLOY (OWNER)
(207) 993-2579
Entity
Organization
Contact information
Practice address
707 N PALERMO RD, PALERMO, ME 04354-7118
(207) 993-2579
Mailing address
707 N PALERMO RD, PALERMO, ME 04354-7118
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
07/13/2009
Last updated
07/13/2009
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