| Way Home, Inc. | |
|
963 Broadway South Portland ME 04106-4206 | |
| (207) 773-3599 | |
| Not Available |
| Full Name | Way Home, Inc. |
|---|---|
| Speciality | Social Worker |
| Location | 963 Broadway, South Portland, Maine |
| Authorized Official Name and Position | Joni Hope Altshuler (PRESIDENT) |
| Authorized Official Contact | 2077733599 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Way Home, Inc. 42 Ocean View Ave South Portland ME 04106-3009 Ph: (207) 799-4069 | Way Home, Inc. 963 Broadway South Portland ME 04106-4206 Ph: (207) 773-3599 |
| NPI Number | 1376559120 |
|---|---|
| Provider Enumeration Date | 08/01/2006 |
| Last Update Date | 04/08/2025 |
| Certification Date | 04/08/2025 |
| Medicare PECOS PAC ID | 6901064310 |
|---|---|
| Medicare Enrollment ID | O20120214000687 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376559120 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LC7503 (Maine) | Primary |
| Provider Name | Joni Altshuler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235145079 PECOS PAC ID: 9638116619 Enrollment ID: I20120214000746 |
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