NPI | 1174788236 |
---|---|
Entity Type | Organization |
Authorized Contact | ANGEL D.C. FULLER-MCMAHAN President/Owner 207-594-8433 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X (Licence: ME 478019) |
Additional Taxonomies | 251S00000X (Licence: ME 604311) |
Enumeration Date | 2008-07-28 |
Last Update Date | 2010-06-23 |