Organization
NEW BEGINNINGS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAMMY LYNN MARTIN/TRASK ADMINISTRATOR,CRMA, (PROPRIETOR/ADMINISTRATOR)
(207) 943-2000
Entity
Organization
Contact information
Practice address
90 PARK ST, SITE#1, MILO, ME 04463-1738
(207) 943-2000
Mailing address
90 PARK ST PO BX 55, SUITE#1, MILO, ME 04463
(207) 943-6082
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
ALLS6551
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3747P1801X
PERSONNEL CARE AGENCY
ME
Enumeration date
05/13/2015
Last updated
05/13/2015
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