Provider Demographics
NPI:1235367426
Name:SHIRLEY BESSEY
Entity Type:Organization
Organization Name:SHIRLEY BESSEY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHIRLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:BESSEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-568-3468
Mailing Address - Street 1:232 KNOX RDG N
Mailing Address - Street 2:
Mailing Address - City:KNOX
Mailing Address - State:ME
Mailing Address - Zip Code:04986-4007
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:232 KNOX RDG N
Practice Address - Street 2:
Practice Address - City:KNOX
Practice Address - State:ME
Practice Address - Zip Code:04986-4007
Practice Address - Country:US
Practice Address - Phone:207-568-3468
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-25
Last Update Date:2009-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care