Bruce Green

NPI #1154550556 in Bangor, Maine

Provider Information

NPI Number: 1154550556
Entity Type: Organization
Organization Name: Bruce Green
Primary Specialty: In Home Supportive Care
Enumeration Date: Jul 7, 2009
Last Updated: Jul 7, 2009

Practice Location

Address: 201 HUSSON AVE APT D2
City: Bangor
State: Maine
ZIP Code: 04401-3238
Phone: (207) 942-1902

Authorized Official

Name: BRUCE GREEN
Title: OWNER
Phone: (207) 942-1902

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
In Home Supportive Care	253Z00000X	Primary

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