Provider Demographics
NPI:1841428604
Name:JOSEPHINE CHANEY
Entity Type:Organization
Organization Name:JOSEPHINE CHANEY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPHINE
Authorized Official - Middle Name:
Authorized Official - Last Name:CHANEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-389-2322
Mailing Address - Street 1:916 PARKER HEAD RD
Mailing Address - Street 2:
Mailing Address - City:PHIPPSBURG
Mailing Address - State:ME
Mailing Address - Zip Code:04562-4663
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:916 PARKER HEAD RD
Practice Address - Street 2:
Practice Address - City:PHIPPSBURG
Practice Address - State:ME
Practice Address - Zip Code:04562-4663
Practice Address - Country:US
Practice Address - Phone:207-389-2322
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-30
Last Update Date:2009-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care