Provider Demographics
NPI:1285605147
Name:KNO-WAL-LIN HELP AT HOME, INC.
Entity type:Organization
Organization Name:KNO-WAL-LIN HELP AT HOME, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:
Authorized Official - Last Name:DEBLOIS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:207-594-9561
Mailing Address - Street 1:170 PLEASANT ST
Mailing Address - Street 2:
Mailing Address - City:ROCKLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04841-2119
Mailing Address - Country:US
Mailing Address - Phone:207-594-9561
Mailing Address - Fax:207-594-0086
Practice Address - Street 1:170 PLEASANT ST
Practice Address - Street 2:
Practice Address - City:ROCKLAND
Practice Address - State:ME
Practice Address - Zip Code:04841-2119
Practice Address - Country:US
Practice Address - Phone:207-594-9561
Practice Address - Fax:207-594-0086
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME2696251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME=========OtherTAX ID NUMBER