Organization
PROFESSIONAL HOME CARE SPECIALISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RANDOLPH S MICHAUD (FINANCIAL OFFICER)
(207) 764-3866
Entity
Organization
Contact information
Practice address
1086 MAPLETON RD, MAPLETON, ME 04757-4508
(207) 764-3866
Mailing address
1086 MAPLETON RD, MAPLETON, ME 04757-4508
(207) 764-3866
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
12/29/2015
Last updated
09/20/2019
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