Organization
SUSANNE RANDALL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSANNE RANDALL (OWNER)
(207) 985-9109
Entity
Organization
Contact information
Practice address
3 ELANNAS WAY, KENNEBUNK, ME 04043
(207) 985-9109
Mailing address
PO BOX 513, WEST KENNEBUNK, ME 04094-0513
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
08/28/2009
Last updated
08/28/2009
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