Organization
COASTAL CARE ALLIANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TELL D SACKETT (PRESIDENT & CEO)
(207) 432-6068
Entity
Organization
Contact information
Practice address
36 WADLEIGH ST APT A, PARSONSFIELD, ME 04047-6269
(207) 432-6068
Mailing address
36 WADLEIGH ST APT A, PARSONSFIELD, ME 04047-6269
(207) 432-6068
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
Other
Enumeration date
02/10/2018
Last updated
02/18/2018
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