Provider Demographics
NPI:1508425604
Name:SHELLEY JEAN TOZIER
Entity Type:Organization
Organization Name:SHELLEY JEAN TOZIER
Other - Org Name:SHELLEY JEAN TOZIER
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHELLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:TOZIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-299-4246
Mailing Address - Street 1:20 MONROE RD
Mailing Address - Street 2:
Mailing Address - City:WINTERPORT
Mailing Address - State:ME
Mailing Address - Zip Code:04496-4213
Mailing Address - Country:US
Mailing Address - Phone:207-299-4246
Mailing Address - Fax:
Practice Address - Street 1:20 MONROE RD
Practice Address - Street 2:
Practice Address - City:WINTERPORT
Practice Address - State:ME
Practice Address - Zip Code:04496-4213
Practice Address - Country:US
Practice Address - Phone:207-299-4246
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-12
Last Update Date:2020-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty
No372500000XNursing Service Related ProvidersChore ProviderGroup - Multi-Specialty
No372600000XNursing Service Related ProvidersAdult CompanionGroup - Multi-Specialty
No376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty