Organization
SUSAN DUNLEAVEY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN DUNLEAVEY (OWNER)
(207) 963-4063
Entity
Organization
Contact information
Practice address
15 BRADLEY FARM RD, GOULDSBORO, ME 04607
(207) 963-4063
Mailing address
PO BOX 152, GOULDSBORO, ME 04607-0152
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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