Organization
EASTERN MAINE HOMECARE
Active
Other names
RIVER VALLEY HOMECARE
Organization subpart
No
Provider details
NPI number
Authorized official
SYLVIA A SOUCY (BILLING MANAGER)
(207) 498-2578
Entity
Organization
Contact information
Practice address
24 LAWRENCE DRIVE, FAIRFIELD, ME 04937
(207) 453-2499
Mailing address
24 LAWRENCE DR, FAIRFIELD, ME 04937
(207) 453-2499
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
02737
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102170100
—
ME
01
—
2598350
AETNA PROVIDER #
ME
01
—
M23709
CIGNA/CARE CENTRIX PROVID
ME
Enumeration date
05/18/2006
Last updated
09/09/2008
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