Organization
ALPHA ONE
Active
Other names
Attendant Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DENNIS FITZGIBBONS (EXECUTIVE DIRECTOR)
(207) 767-2189
Entity
Organization
Contact information
Practice address
127 MAIN ST, SOUTH PORTLAND, ME 04106-2647
(207) 767-2189
(207) 767-7386
Mailing address
127 MAIN ST, SOUTH PORTLAND, ME 04106-2647
(207) 767-2189
(207) 799-8346
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110660000
—
ME
05
—
110660100
—
ME
05
—
431733400
—
ME
05
—
431733401
—
ME
Enumeration date
04/22/2009
Last updated
04/22/2009
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