Organization
FAMILY CIRCLES HEALTHCARE LLC
Active
Other names
Family Circles Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER ELIZABETH BAGLEY FNP-C (OWNER/OPERATOR)
(207) 735-7807
Entity
Organization
Contact information
Practice address
10 GREAT MOOSE DR, HARTLAND, ME 04943-3022
(207) 735-7807
(207) 512-1133
Mailing address
10 GREAT MOOSE DR, HARTLAND, ME 04943-3022
(207) 735-7807
(207) 512-1133
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
CNP81850
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1912197914
—
ME
Enumeration date
07/23/2016
Last updated
07/23/2016
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