Provider First Line Business Practice Location Address:
40 SUMMER ST
Provider Second Line Business Practice Location Address:
COMMUNITY CARE
Provider Business Practice Location Address City Name:
BANGOR
Provider Business Practice Location Address State Name:
ME
Provider Business Practice Location Address Postal Code:
04401-6446
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
297-945-4240
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/23/2009