Provider Demographics
NPI:1174653950
Name:SKILLINGS, ALISON LIBBY (PERSONAL SUPPORT PRO)
Entity Type:Individual
Prefix:MRS
First Name:ALISON
Middle Name:LIBBY
Last Name:SKILLINGS
Suffix:
Gender:F
Credentials:PERSONAL SUPPORT PRO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:88 ELSMERE AVE
Mailing Address - Street 2:
Mailing Address - City:SOUTH PORTLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04106
Mailing Address - Country:US
Mailing Address - Phone:207-799-3921
Mailing Address - Fax:
Practice Address - Street 1:88 ELSMERE AVE
Practice Address - Street 2:
Practice Address - City:SO PORTLAND
Practice Address - State:ME
Practice Address - Zip Code:04106
Practice Address - Country:US
Practice Address - Phone:207-799-3921
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide