200 Years Old, LLC

NPI #1508524638 in Falmouth, Maine

Provider Information

NPI Number
1508524638
Entity Type
Organization
Organization Name
200 Years Old, LLC
Primary Specialty
In Home Supportive Care
Enumeration Date
Dec 6, 2021
Last Updated
Jan 7, 2023

Practice Location

Address
5 BLACKSTRAP RD
State
Maine
ZIP Code
04105-2223
Phone
(207) 518-0881

Authorized Official

Name
MR. MAURICE HABIMFURA
Title
REGISTERED NURSE
Phone
(207) 518-0881

Specialties & Taxonomy Codes

Specialty
In Home Supportive Care

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