Organization
PROFESSIONAL HOME NURSING, INC
Active
Other names
Professional Home Nursing
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHERINE A ANDERSON RN, BSN, MSB (CEO, CO-OWNER)
(207) 498-3915
Entity
Organization
Contact information
Practice address
7 HATCH DR, SUITE 110, CARIBOU, ME 04736-2159
(207) 498-3915
(207) 493-4510
Mailing address
7 HATCH DR, SUITE 110, CARIBOU, ME 04736-2159
(207) 498-3915
(207) 493-4510
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
2655
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
128450000
—
ME
01
—
207055017310
BLUE CROSS PROVIDER ID
ME
Enumeration date
05/23/2005
Last updated
09/02/2011
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