Provider Demographics
NPI:1952678666
Name:INDEPENDENT SERVICE COORDINATION FOR ME, LLC
Entity Type:Organization
Organization Name:INDEPENDENT SERVICE COORDINATION FOR ME, LLC
Other - Org Name:ISC FOR ME, LLC
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:FRANCES
Authorized Official - Middle Name:B
Authorized Official - Last Name:CARTIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-852-1060
Mailing Address - Street 1:PO BOX 849
Mailing Address - Street 2:
Mailing Address - City:BREWER
Mailing Address - State:ME
Mailing Address - Zip Code:04412-0849
Mailing Address - Country:US
Mailing Address - Phone:072-573-4245
Mailing Address - Fax:207-573-4227
Practice Address - Street 1:1010 STILLWATER AVE
Practice Address - Street 2:
Practice Address - City:BANGOR
Practice Address - State:ME
Practice Address - Zip Code:04401
Practice Address - Country:US
Practice Address - Phone:207-573-4245
Practice Address - Fax:207-573-4227
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-23
Last Update Date:2019-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management