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Contact Information

AGING GRACE HOUSE CALLS, PROFESSIONAL CORPORATION
21 E SUMMER ST
BANGOR, ME04401-5513
 Phone: 207-573-0710
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Primary Care

261QP2300X
 

Clinic/Center

261Q00000X
 

Rural Health

261QR1300X B4[14] Rural Health Clinic
Indicates primary specialty

NPI Profile & details for AGING GRACE HOUSE CALLS, PROFESSIONAL CORPORATION

NPI Number 1336919091
LBN Legal business name AGING GRACE HOUSE CALLS, PROFESSIONAL CORPORATION
Authorized official KATHRYN MORDINO - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 01/04/2024
Last updated 02/26/2024 - About 2 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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