National Provider Identifier Database

ALLEGIANCE HOSPICE CARE OF MAINE
Hospice Care, Community Based


Contact Information

ALLEGIANCE HOSPICE CARE OF MAINE
100 FODEN ROAD WEST
SUITE 200
SOUTH PORTLAND, ME04106-2323
Phone: 207-761-6967
Fax: 207-772-6240
Website:
Specialty Taxonomy Code
* Hospice Care, Community Based 251G00000X

* Indicates primary specialty

NPI Profile & details for ALLEGIANCE HOSPICE CARE OF MAINE

NPI Number 1962542092
Legal business name
LBN
ALLEGIANCE HOSPICE CARE OF MAINE
Authorized official GLEN CAVALLO - (PRESIDENT)
Entity Organization
Organization subpart Yes
Enumeration date 02/07/2007
Last updated 08/03/2011 - About 15 years ago
Sole proprietor1 Not specified
Identifiers
  • ME License #: 37044
  • ME Medicaid: 432631300

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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