Provider Demographics
NPI:1871827055
Name:EASTERN MAINE HOMECARE
Entity Type:Organization
Organization Name:EASTERN MAINE HOMECARE
Other - Org Name:RIVER VALLEY HOMECARE & HOSPICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SYLVIA
Authorized Official - Middle Name:
Authorized Official - Last Name:SOUCY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-498-2578
Mailing Address - Street 1:24 LAWRENCE AVE
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:ME
Mailing Address - Zip Code:04937-1221
Mailing Address - Country:US
Mailing Address - Phone:207-453-2499
Mailing Address - Fax:207-453-6233
Practice Address - Street 1:24 LAWRENCE AVE
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:ME
Practice Address - Zip Code:04937-1221
Practice Address - Country:US
Practice Address - Phone:207-453-2499
Practice Address - Fax:207-453-6233
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:EASTERN MAINE HOMECARE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-09-22
Last Update Date:2009-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based