Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Hospice Care, Community Based |
251G00000X | B4[14] | Hospice |
| NPI # | 1659418622 |
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| LBN Legal business name | ANDROSCOGGIN VALLEY HOSPITAL, INC. | ||||
| Authorized official | RUSSELL KEENE - (CEO) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | Yes | ||||
| Enumeration date | 01/31/2007 | ||||
| Last updated | 01/28/2014 - About 12 years ago | ||||
| Identifiers |
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