NPI 1154565141

Good Samaritan Agency

Organisation Case Management Agency Bangor, ME

Practice location

Address: 100 Ridgewood Dr, Bangor, ME 04401-2652
Phone: (207) 942-7211
Fax: (207) 990-0851

Authorised official

Name: Deborah a Giguere
Title: Executive Director
Phone: (207) 942-7211

Registered specialties (4)

Case Management Agency Primary

Agencies Taxonomy 251B00000X Licence LS5224 (ME)

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Registry record

NPI: 1154565141
Entity type: Organization
NPI issued: 22 Apr 2009
Record last updated: 22 Apr 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.