NPI 1932477809
Coram Alternate Site Services, INC.
Practice location
- Address
- 191 Marginal Way, Portland, ME 04101-3387
- Phone
- (508) 989-9373
- Mailing address
- PO Box 809160, Chicago, IL 60680-9160
Authorised official
- Name
- Tricia Lacavich
- Title
- President
- Phone
- (314) 306-3255
Registered specialties (2)
Home Infusion Agency
Primary
Home Health Agency
Registry record
- NPI
- 1932477809
- Entity type
- Organization
- NPI issued
- 7 Dec 2011
- Record last updated
- 7 Mar 2023
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.