| Organization Name: | LIFE CHOICE HOSPICE OF MAINE, LLC |
| NPI Number: | 1144573403 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ANTHONY JAMES (CFO) |
| Mailing Address: | 23 Spring St Suite C Scarborough |
| State: | ME US |
| Postal Code: | 040747701 |
| Phone Number: | 2077616967 |
| Fax Number: | 2077726240 |
| NPI Enumeration Date: | 10/23/2012 |
| NPI Last Update Date: | 09/08/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |