Organization
BRENT HIXON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENT HIXON (OWNER)
(207) 492-1404
Entity
Organization
Contact information
Practice address
17 WASHINGTON ST, CARIBOU, ME 04736-1725
(207) 492-1404
Mailing address
17 WASHINGTON ST, CARIBOU, ME 04736-1725
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
06/30/2009
Last updated
06/30/2009
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