| NPI | 1881733905 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL JAMES JACKSON Owner Executor 207-318-4072 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: ME 048931) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2008-06-16 |