Provider Demographics
NPI:1841830726
Name:PREVENTION IS KEY LLC
Entity type:Organization
Organization Name:PREVENTION IS KEY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KAYLA
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:BEAL
Authorized Official - Suffix:
Authorized Official - Credentials:IPDH
Authorized Official - Phone:207-598-6195
Mailing Address - Street 1:PO BOX 328
Mailing Address - Street 2:
Mailing Address - City:MILBRIDGE
Mailing Address - State:ME
Mailing Address - Zip Code:04658-0328
Mailing Address - Country:US
Mailing Address - Phone:207-598-6195
Mailing Address - Fax:
Practice Address - Street 1:19 MAIN STREET
Practice Address - Street 2:
Practice Address - City:MILBRIDGE
Practice Address - State:ME
Practice Address - Zip Code:04658
Practice Address - Country:US
Practice Address - Phone:207-598-6195
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-08
Last Update Date:2022-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME1942756721Medicaid