Provider Demographics
NPI:1780230078
Name:UNICARE FAMILY
Entity Type:Organization
Organization Name:UNICARE FAMILY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MARSHA
Authorized Official - Middle Name:
Authorized Official - Last Name:FRY
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:207-738-2080
Mailing Address - Street 1:307 PARK ST
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:ME
Mailing Address - Zip Code:04487-4516
Mailing Address - Country:US
Mailing Address - Phone:207-738-2080
Mailing Address - Fax:
Practice Address - Street 1:307 PARK ST
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:ME
Practice Address - Zip Code:04487-4516
Practice Address - Country:US
Practice Address - Phone:207-738-2080
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-13
Last Update Date:2019-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health