| Organization Name: | HOSPICE OF SOUTHERN MAINE |
| NPI Number: | 1972594232 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DARYL J CADY (CHIEF EXECUTIVE OFFICER) |
| Mailing Address: | 180 Us Route 1 # 1 Scarborough |
| State: | ME US |
| Postal Code: | 040749073 |
| Phone Number: | 2072893640 |
| Fax Number: | 2078831040 |
| NPI Enumeration Date: | 11/04/2005 |
| NPI Last Update Date: | 04/11/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 36152 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ME |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |