| Mas Home Care Of Name | |
|
360 Harlow St Bangor ME 04401-4908 | |
| (207) 561-9533 | |
| (207) 561-9538 |
| Full Name | Mas Home Care Of Name |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 360 Harlow St, Bangor, Maine |
| Authorized Official Name and Position | Ken Johnson (VICE-PRESIDENT) |
| Authorized Official Contact | 16032960953 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mas Home Care Of Name 360 Harlow St Bangor ME 04401-4908 Ph: (207) 561-9533 | Mas Home Care Of Name 360 Harlow St Bangor ME 04401-4908 Ph: (207) 561-9533 |
| NPI Number | 1558647461 |
|---|---|
| Provider Enumeration Date | 10/25/2011 |
| Last Update Date | 10/25/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558647461 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | MC12138 (Maine) | Primary |
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