Provider Demographics
NPI:1255907465
Name:HEALTH CARE RESOURCE CENTER
Entity type:Organization
Organization Name:HEALTH CARE RESOURCE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE
Authorized Official - Prefix:
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:
Authorized Official - Last Name:MAHONEY
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:781-771-4484
Mailing Address - Street 1:1366 DEER RUN
Mailing Address - Street 2:
Mailing Address - City:CASCO
Mailing Address - State:ME
Mailing Address - Zip Code:04015-3688
Mailing Address - Country:US
Mailing Address - Phone:781-771-4484
Mailing Address - Fax:
Practice Address - Street 1:1366 DEER RUN
Practice Address - Street 2:
Practice Address - City:CASCO
Practice Address - State:ME
Practice Address - Zip Code:04015-3688
Practice Address - Country:US
Practice Address - Phone:781-771-4484
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-28
Last Update Date:2021-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes164W00000XNursing Service ProvidersLicensed Practical NurseGroup - Single Specialty