Ethel's Tree of Life, Inc.

NPI #1881917359 in Kittery, Maine

Provider Information

NPI Number: 1881917359
Entity Type: Organization
Organization Name: Ethel's Tree of Life, Inc.
Primary Specialty: Point of Service
Enumeration Date: Mar 11, 2010
Last Updated: Mar 11, 2010

Practice Location

Address: 518 RTE 1
City: Kittery
State: Maine
ZIP Code: 03904
Phone: (207) 438-9449

Authorized Official

Name: LINDA A. HIGGINS
Title: EXECUTIVE DIRECTOR
Phone: (207) 438-9449

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Point of Service	305S00000X	Primary

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