Organization
FREDERICK ALLEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FREDERICK ALLEN (OWNER)
(207) 858-4210
Entity
Organization
Contact information
Practice address
51 CHAPMAN RIDGE RD, CORNVILLE, ME 04976-6022
(207) 858-4210
Mailing address
51 CHAPMAN RIDGE RD, CORNVILLE, ME 04976-6022
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
06/29/2009
Last updated
06/29/2009
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