Provider Demographics
NPI:1093943946
Name:BOYD PALMER
Entity Type:Organization
Organization Name:BOYD PALMER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BOYD
Authorized Official - Middle Name:
Authorized Official - Last Name:PALMER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-288-3580
Mailing Address - Street 1:PO BOX 48
Mailing Address - Street 2:
Mailing Address - City:SALSBURY COVE
Mailing Address - State:ME
Mailing Address - Zip Code:04672-0048
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:118 OLD BAR HARBOR ROAD
Practice Address - Street 2:APT. 3
Practice Address - City:SALISBURY COVE
Practice Address - State:ME
Practice Address - Zip Code:04672
Practice Address - Country:US
Practice Address - Phone:207-288-3580
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-30
Last Update Date:2009-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care