Organization
BANGOR AREA HOMELESS SHELTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS MARBLE (EXECUTIVE DIRECTOR)
(207) 947-0045
Entity
Organization
Contact information
Practice address
263 MAIN STREET, BANGOR, ME 04402-1754
(207) 947-0045
(207) 945-9032
Mailing address
P.O. BOX 1754, BANGOR, ME 04402-1754
(207) 947-0045
(207) 945-9032
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
405340000
—
ME
Enumeration date
09/10/2008
Last updated
09/10/2008
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