Organization
BREAD OF LIFE MINISTRIES
Active
Organization
BREAD OF LIFE MINISTRIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN C. APPLIN (EXECUTIVE DIRECTOR)
(207) 626-3434
Entity
Organization
Contact information
Practice address
155 HOSPITAL STREET, AUGUSTA, ME 04330
(207) 626-3479
(207) 621-6385
Mailing address
157 WATER STREET, AUGUSTA, ME 04330
(207) 626-3434
(207) 621-6385
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
169410000
—
ME
Enumeration date
09/10/2008
Last updated
09/10/2008
Update your record
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