Provider Demographics
NPI:1912443474
Name:REY-AH HOME CARE, LLC
Entity Type:Organization
Organization Name:REY-AH HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:DAWN
Authorized Official - Middle Name:
Authorized Official - Last Name:BERGERON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-754-6568
Mailing Address - Street 1:157 COLLEGE ST
Mailing Address - Street 2:2ND FL
Mailing Address - City:LEWISTON
Mailing Address - State:ME
Mailing Address - Zip Code:04240
Mailing Address - Country:US
Mailing Address - Phone:207-754-6568
Mailing Address - Fax:
Practice Address - Street 1:157 COLLEGE ST
Practice Address - Street 2:2ND FL
Practice Address - City:LEWISTON
Practice Address - State:ME
Practice Address - Zip Code:04240-6758
Practice Address - Country:US
Practice Address - Phone:207-754-6568
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-09
Last Update Date:2017-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care