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Organization

HEALING SPIRIT HEALTHCARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. ILA MAE BSB RN (OWNER/MANAGER)
(207) 827-9100
Entity
Organization

Contact information

Practice address
276 MAIN ST, OLD TOWN, ME 04468-1529
(207) 827-9100
(207) 827-9200
Mailing address
PO BOX 86, OLD TOWN, ME 04468-0086
(207) 827-9100
(207) 827-9200

Taxonomy

Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
ME
251B00000X
Case Management Agency
ME
251J00000X
Nursing Care Agency
ME
251S00000X
Community/Behavioral Health Agency
Primary
ME

Other

Enumeration date
01/12/2011
Last updated
01/12/2011
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