Bruce Green

Organization Active NPI In Home Supportive Care Agency · Bangor, ME

NPI 1154550556 · NPPES record last updated Jul 7, 2009

Key facts

NPI
1154550556
Entity type
Organization (NPI type 2)
Primary specialty
In Home Supportive Care Agency 253Z00000X
Legal business name
BRUCE GREEN
Practice address
201 Husson Ave Apt D2
Bangor, ME 04401-3238
Phone
(207) 942-1902
NPI assigned
Jul 7, 2009
Organization subpart
No

Authorized official

Name
Bruce Green
Title
Owner
Phone
(207) 942-1902

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Yes

Addresses

Primary practice location

201 Husson Ave Apt D2
Bangor, ME 04401-3238

Mailing address

201 Husson Ave Apt D2
Bangor, ME 04401-3238

Other providers in Bangor, ME

All providers in Bangor, ME · In Home Supportive Care Agency in Maine

Sources for this page

Verify at the official NPI Registry.