Organization
TORSHA TIBBETTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TORSHA TIBBETTS (OWNER)
(207) 341-4066
Entity
Organization
Contact information
Practice address
442 TROY RD, DETROIT, ME 04929-3024
(207) 341-4066
Mailing address
442 TROY RD, DETROIT, ME 04929-3024
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
07/07/2009
Last updated
07/07/2009
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