Provider Demographics
NPI:1649409822
Name:JO-ANNE FORESMAN
Entity Type:Organization
Organization Name:JO-ANNE FORESMAN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JO-ANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:FORESMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-284-2334
Mailing Address - Street 1:26 FERRY RD
Mailing Address - Street 2:
Mailing Address - City:SACO
Mailing Address - State:ME
Mailing Address - Zip Code:04072-2111
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:26 FERRY RD
Practice Address - Street 2:
Practice Address - City:SACO
Practice Address - State:ME
Practice Address - Zip Code:04072-2111
Practice Address - Country:US
Practice Address - Phone:207-284-2334
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-08
Last Update Date:2009-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care