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Organization

HC WATSON

Active
Other names
Interim Healthcare
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ANGLEA SPENCER R.N (REGIONAL AREA MANAGER)
(207) 775-3366
Entity
Organization

Contact information

Practice address
72 ATLANTIC PL, SOUTH PORTLAND, ME 04106-2316
(207) 775-3366
(207) 775-3366
Mailing address
72 ATLANTIC PL, SOUTH PORTLAND, ME 04106-2316
(207) 775-3366
(207) 775-3366

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
02929
ME
251E00000X
Home Health Agency
Primary
2948
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
162680000
ME
Enumeration date
05/11/2009
Last updated
05/11/2009
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