Organization
STEPHEN IZZO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN IZZO (OWNER)
(207) 538-5277
Entity
Organization
Contact information
Practice address
36 HIGHLAND AVE, HOULTON, ME 04730-2224
(207) 538-5277
Mailing address
36 HIGHLAND AVE, HOULTON, ME 04730-2224
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
07/06/2009
Last updated
07/06/2009
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