Provider Demographics
NPI:1841343696
Name:ALLEY, GERALDINE LUCY (FOSTER HOME CARE PVD)
Entity type:Individual
Prefix:MRS
First Name:GERALDINE
Middle Name:LUCY
Last Name:ALLEY
Suffix:
Gender:F
Credentials:FOSTER HOME CARE PVD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 184
Mailing Address - Street 2:
Mailing Address - City:JONESPORT
Mailing Address - State:ME
Mailing Address - Zip Code:04649
Mailing Address - Country:US
Mailing Address - Phone:207-497-5606
Mailing Address - Fax:
Practice Address - Street 1:2 SHADY REST DRIVE
Practice Address - Street 2:
Practice Address - City:JONESPORT
Practice Address - State:ME
Practice Address - Zip Code:04649
Practice Address - Country:US
Practice Address - Phone:207-497-5606
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2278H0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, CertifiedHome Health