Organization
MAS MEDICAL STAFFING CORPORATION
Active
Other names
MAS Home Care of Maine
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH C JOHNSON (OWNER)
(603) 232-0972
Entity
Organization
Contact information
Practice address
30 SUMMER ST, SUITE 5, BANGOR, ME 04401-6467
(207) 561-9533
(207) 561-9538
Mailing address
156 HARVEY RD, LONDONDERRY, NH 03053-7449
(603) 232-0972
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
601444
ME
Other
Enumeration date
12/02/2009
Last updated
02/05/2014
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