Organization
GARY AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD A GARY (OWNER)
(207) 944-1848
Entity
Organization
Contact information
Practice address
363 FERN ST, BANGOR, ME 04401-4060
(207) 944-1848
Mailing address
PO BOX 217, BANGOR, ME 04402-0217
(207) 944-1848
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
432708200
—
ME
Enumeration date
05/11/2009
Last updated
05/11/2009
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