Provider Demographics
NPI:1154733384
Name:LABRIE-HUNT HOLDINGS, LLC
Entity type:Organization
Organization Name:LABRIE-HUNT HOLDINGS, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:W
Authorized Official - Last Name:HUNT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-703-0072
Mailing Address - Street 1:PO BOX 276
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:NH
Mailing Address - Zip Code:03821-0276
Mailing Address - Country:US
Mailing Address - Phone:207-703-0072
Mailing Address - Fax:603-343-2745
Practice Address - Street 1:37 ROUTE 236 STE 205
Practice Address - Street 2:
Practice Address - City:KITTERY
Practice Address - State:ME
Practice Address - Zip Code:03904-6001
Practice Address - Country:US
Practice Address - Phone:207-703-0072
Practice Address - Fax:207-703-0199
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-22
Last Update Date:2015-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1012225X00000X
MEOT167225X00000X
MEPT1739261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical TherapyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME7158150001OtherMEDICARE DMEPOS
MEE100164942OtherMEDICARE GRP OT/PT/ST