Organization
GREAT BAY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAMELA ANN LOWY (EXECUTIVE DIRECTOR)
(603) 842-5344
Entity
Organization
Contact information
Practice address
61 WASHINGTON ST STE 4, SANFORD, ME 04073-3093
(207) 850-1053
(207) 850-1078
Mailing address
23 CATARACT AVE STE 1, DOVER, NH 03820-3908
(603) 842-5344
(603) 343-4465
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
315P00000X
Intellectual Disabilities Intermediate Care Facility
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
ALLS2515
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
138420000
MAINECARE
ME
Enumeration date
04/20/2009
Last updated
06/06/2023
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