| Dignity Life Llc | |
|
42 Brigham St South Portland ME 04106-3406 | |
| (207) 239-9078 | |
| Not Available |
| Full Name | Dignity Life Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 42 Brigham St, South Portland, Maine |
| Authorized Official Name and Position | Harold Kalusa (DIRECTOR OF ADMINISTRATION) |
| Authorized Official Contact | 2073835601 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dignity Life Llc 42 Brigham St South Portland ME 04106-3406 Ph: (207) 239-9078 | Dignity Life Llc 42 Brigham St South Portland ME 04106-3406 Ph: (207) 239-9078 |
| NPI Number | 1427803485 |
|---|---|
| Provider Enumeration Date | 04/22/2024 |
| Last Update Date | 04/22/2024 |
| Certification Date | 04/22/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427803485 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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