Organization
200 YEARS OLD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MAURICE HABIMFURA (REGISTERED NURSE)
(207) 518-0881
Entity
Organization
Contact information
Practice address
5 BLACKSTRAP RD, FALMOUTH, ME 04105-2223
(207) 518-0881
Mailing address
5 BLACKSTRAP RD, FALMOUTH, ME 04105-2223
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
12/06/2021
Last updated
01/07/2023
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