Provider Demographics
NPI:1457498867
Name:U-CAN INC
Entity Type:Organization
Organization Name:U-CAN INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:BRYNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-945-4033
Mailing Address - Street 1:384 HAMMOND ST
Mailing Address - Street 2:
Mailing Address - City:BANGOR
Mailing Address - State:ME
Mailing Address - Zip Code:04401-4647
Mailing Address - Country:US
Mailing Address - Phone:207-945-4033
Mailing Address - Fax:207-945-5019
Practice Address - Street 1:384 HAMMOND ST
Practice Address - Street 2:
Practice Address - City:BANGOR
Practice Address - State:ME
Practice Address - Zip Code:04401-4647
Practice Address - Country:US
Practice Address - Phone:207-945-4033
Practice Address - Fax:207-945-5019
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-01
Last Update Date:2012-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME133920000Medicare ID - Type Unspecified