Organization
SHAW HOUSE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CAROL WHITNEY (EXECUTIVE DIRECTOR)
(207) 941-2874
Entity
Organization
Contact information
Practice address
136 UNION ST, BANGOR, ME 04401-6327
(207) 941-2874
(207) 941-2875
Mailing address
136 UNION ST, BANGOR, ME 04401-6327
(207) 941-2874
(207) 941-2875
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
128120200
—
ME
Enumeration date
12/22/2009
Last updated
12/22/2009
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