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Organization

LEDGER HOME

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. DAWN PORTER (WAIVER HOME PROVIDER)
(207) 532-6254
Entity
Organization

Contact information

Practice address
1256 US ROUTE ONE, AMITY, ME 04471-5228
(207) 532-6254
Mailing address
1256 US ROUTE ONE, AMITY, ME 04471-5228
(207) 532-6254

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
NONE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
101400000
ME
Enumeration date
01/15/2009
Last updated
04/16/2009
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