Provider Demographics
NPI:1669616900
Name:DUNROVIN ENTERPRISES, INC.
Entity type:Organization
Organization Name:DUNROVIN ENTERPRISES, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO/ADMINISTRATOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:BLOSSOM
Authorized Official - Middle Name:A
Authorized Official - Last Name:CYR
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:207-764-5232
Mailing Address - Street 1:PO BOX 1771
Mailing Address - Street 2:520 MAIN STREET
Mailing Address - City:PRESQUE ISLE
Mailing Address - State:ME
Mailing Address - Zip Code:04769-1771
Mailing Address - Country:US
Mailing Address - Phone:207-764-5232
Mailing Address - Fax:207-764-5232
Practice Address - Street 1:520 MAIN ST
Practice Address - Street 2:
Practice Address - City:PRESQUE ISLE
Practice Address - State:ME
Practice Address - Zip Code:04769-2339
Practice Address - Country:US
Practice Address - Phone:207-764-5232
Practice Address - Fax:207-764-5232
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-30
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME02946251J00000X, 253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251J00000XAgenciesNursing Care