Provider Demographics
NPI:1629377544
Name:EPIC DAYS
Entity Type:Organization
Organization Name:EPIC DAYS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:CYR
Authorized Official - Suffix:
Authorized Official - Credentials:CRMA, DSP
Authorized Official - Phone:207-973-3742
Mailing Address - Street 1:160 MAPLE ST
Mailing Address - Street 2:
Mailing Address - City:BANGOR
Mailing Address - State:ME
Mailing Address - Zip Code:04401-4032
Mailing Address - Country:US
Mailing Address - Phone:207-973-3742
Mailing Address - Fax:207-973-3742
Practice Address - Street 1:160 MAPLE ST
Practice Address - Street 2:
Practice Address - City:BANGOR
Practice Address - State:ME
Practice Address - Zip Code:04401-4032
Practice Address - Country:US
Practice Address - Phone:207-973-3742
Practice Address - Fax:207-973-3742
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-17
Last Update Date:2011-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEALLS 4255373H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes373H00000XNursing Service Related ProvidersDay Training/Habilitation SpecialistGroup - Single Specialty