NPI 1811124662

Watch Me Shine, INC.

Organisation Early Intervention Provider Agency Bangor, ME

Practice location

Address: 28 Gilman Plaza, Bangor, ME 04401
Phone: (207) 990-0162
Fax: (207) 990-0163
Mailing address: 122 Jillian Way C/O Tiffany Petronis, Glenburn, ME 04401

Authorised official

Name: Tiffany S. Petronis
Title: Executive Director
Phone: (207) 664-8132

Registered specialties

Early Intervention Provider Agency Primary

Agencies Taxonomy 252Y00000X Licence 609327 (ME)

Other Early Intervention Provider Agency providers in Maine →

Registry record

NPI: 1811124662
Entity type: Organization
NPI issued: 19 Jun 2009
Record last updated: 13 Feb 2015

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.