Provider Demographics
NPI:1851527774
Name:AROOSTOOK AGENCY ON AGING
Entity Type:Organization
Organization Name:AROOSTOOK AGENCY ON AGING
Other - Org Name:AROOSTOOK AREA AGENCY ON AGING
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:DIRECTOR OF HOME CARE & NUTRITION
Authorized Official - Prefix:
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:BEAULIEU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-764-3396
Mailing Address - Street 1:PO BOX 1288
Mailing Address - Street 2:
Mailing Address - City:PRESQUE ISLE
Mailing Address - State:ME
Mailing Address - Zip Code:04769-1288
Mailing Address - Country:US
Mailing Address - Phone:207-764-3396
Mailing Address - Fax:207-764-6182
Practice Address - Street 1:260 MAIN ST STE B
Practice Address - Street 2:
Practice Address - City:PRESQUE ISLE
Practice Address - State:ME
Practice Address - Zip Code:04769-2878
Practice Address - Country:US
Practice Address - Phone:207-764-3396
Practice Address - Fax:207-764-6182
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-05
Last Update Date:2024-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
No332U00000XSuppliersHome Delivered Meals
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME999020073Medicaid