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Organization

PINE TREE HOME HEALTH CARE INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LENORA RACHEL CONGER R.N. (PRESIDENT)
(207) 926-6190
Entity
Organization

Contact information

Practice address
21 UPPER VILLAGE RD, NEW GLOUCESTER, ME 04260-3424
(207) 926-6190
(207) 926-6191
Mailing address
PO BOX 88, NEW GLOUCESTER, ME 04260-0088
(207) 926-6190
(207) 926-6191

Taxonomy

Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
ME
253Z00000X
In Home Supportive Care Agency
Primary
ME

Other

Enumeration date
10/09/2009
Last updated
10/09/2009
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