Organization Name: | HEALTHY FUTURES, INC |
NPI Number: | 1174767784 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | REBECCA WEST DICK (EXECUTIVE DIRECTOR) |
Mailing Address: | 72 Main St. Suite A Winthrop |
State: | ME US |
Postal Code: | 043641406 |
Phone Number: | 2073775377 |
Fax Number: | 2073775379 |
NPI Enumeration Date: | 04/27/2009 |
NPI Last Update Date: | 04/27/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WC0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Case Management |
Taxonomy Definition: |