NPI 1336916469
Bristol Hospice - Bangor, LLC
Practice location
- Address
- 824 Stillwater Ave STE B, Bangor, ME 04401-3614
- Phone
- (207) 605-9620
- Fax
- (207) 531-3438
- Mailing address
- 206 N 2100 W STE 202, Salt Lake City, UT 84116-4741
Authorised official
- Name
- Alex Mauricio
- Title
- President/Ceo
- Phone
- (801) 325-0175
Registered specialties
Community Based Hospice Care Agency
Primary
Registry record
- NPI
- 1336916469
- Entity type
- Organization
- NPI issued
- 8 Dec 2023
- Record last updated
- 1 Jul 2024
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.