Organization Name: | YELLOW DOG ENTERPRISES, INC. |
NPI Number: | 1750668018 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PETER J GARTLAND (PRESIDENT) |
Mailing Address: | 51 Pine Hill Rd Casco |
State: | ME US |
Postal Code: | 040154138 |
Phone Number: | 2076271125 |
Fax Number: | 2076271126 |
NPI Enumeration Date: | 11/14/2011 |
NPI Last Update Date: | 11/14/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Agencies |
Taxonomy Classification: | In Home Supportive Care |
Taxonomy Specialization: | |
Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |