Provider Demographics
NPI:1104199587
Name:MARY JANE GRANT SIGN LANGUAGE INTERPRETING SERVICES, LLC
Entity Type:Organization
Organization Name:MARY JANE GRANT SIGN LANGUAGE INTERPRETING SERVICES, LLC
Other - Org Name:MARY JANE GRANT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:MARY JANE
Authorized Official - Middle Name:
Authorized Official - Last Name:GRANT
Authorized Official - Suffix:
Authorized Official - Credentials:CI/CT, NIC, EIPA 50
Authorized Official - Phone:207-651-3146
Mailing Address - Street 1:PO BOX 843
Mailing Address - Street 2:
Mailing Address - City:SANFORD
Mailing Address - State:ME
Mailing Address - Zip Code:04073-0843
Mailing Address - Country:US
Mailing Address - Phone:207-651-3146
Mailing Address - Fax:866-825-9910
Practice Address - Street 1:84 RIDLEY RD
Practice Address - Street 2:
Practice Address - City:SANFORD
Practice Address - State:ME
Practice Address - Zip Code:04073-6218
Practice Address - Country:US
Practice Address - Phone:207-651-3146
Practice Address - Fax:866-825-9910
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-16
Last Update Date:2012-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECIT-23171R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171R00000XOther Service ProvidersInterpreterGroup - Single Specialty