Provider Demographics
NPI:1588863724
Name:ANN MARIE RHEAUME
Entity type:Organization
Organization Name:ANN MARIE RHEAUME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LPN
Authorized Official - Prefix:
Authorized Official - First Name:ANN MARIE
Authorized Official - Middle Name:
Authorized Official - Last Name:RHEAUME
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-337-5759
Mailing Address - Street 1:80 SYLVESTER ST
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:MA
Mailing Address - Zip Code:01843-3620
Mailing Address - Country:US
Mailing Address - Phone:978-337-5759
Mailing Address - Fax:
Practice Address - Street 1:80 SYLVESTER ST
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:MA
Practice Address - Zip Code:01843-3620
Practice Address - Country:US
Practice Address - Phone:978-337-5759
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ANN MARIE RHEAUME
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-07-17
Last Update Date:2007-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA37662251J00000X, 251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care