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Organization

MASON DOUGLAS JIPSON

Active
Other names
BOLD COAST HOME CARE AGENCY
Organization subpart
No

Provider details

NPI number
Authorized official
MASON DOUGLAS JIPSON (OWNER)
(207) 598-0439
Entity
Organization

Contact information

Practice address
19 EVERGREEN LN, MILBRIDGE, ME 04658-3624
(207) 598-0439
Mailing address
19 EVERGREEN LN, MILBRIDGE, ME 04658-3624
(207) 598-0439

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary

Other

Enumeration date
11/29/2023
Last updated
11/29/2023
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