Dale Erickson

NPI #1104054014 in Freeport, Maine

Provider Information

NPI Number: 1104054014
Entity Type: Organization
Organization Name: Dale Erickson
Primary Specialty: In Home Supportive Care
Enumeration Date: Jun 30, 2009
Last Updated: Jun 30, 2009

Practice Location

Address: 40 ACORN RIDGE RD
City: Freeport
State: Maine
ZIP Code: 04032-6673
Phone: (207) 865-4352

Authorized Official

Name: DALE ERICKSON
Title: OWNER
Phone: (207) 865-4352

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
In Home Supportive Care	253Z00000X	Primary

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