NPI 1053596676

City of Portland

Organisation Case Management Agency Portland, ME

Practice location

Address: 196 Lancaster St, Portland, ME 04101-2418
Phone: (207) 775-7911
Fax: (207) 775-7918

Authorised official

Name: Heidi J Waterhouse
Title: Senior Accountant
Phone: (207) 775-7911

Registered specialties

Case Management Agency Primary

Agencies Taxonomy 251B00000X Licence 761 (ME)

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Registry record

NPI: 1053596676
Entity type: Organization
NPI issued: 2 Jan 2008
Record last updated: 15 Jul 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.